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Dermacase. Dermatitis herpetiformis.

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VOL 46: NOVEMBER • NOVEMBRE 2000❖Canadian Family Physician•Le Médecin de famille canadien 2199

clinical challenge ❖ défi clinique

Tom Enta, MD, FRCPC Stewart P. Adams, MD, FRCPC

Dermacase

CAN YOU IDENTIFY THIS CONDITION?

A 43-year-old woman developed intensely itchy papules and vesicles on her elbows, knees, and buttocks. The lesions, which appeared to cluster in groups, were superficially ulcerated and slow to heal.

The most likely diagnosis is:

1. Scabies

2. Dermatitis herpetiformis 3. Adult atopic dermatitis 4. Neurotic excoriations

Answer on page 2211

Dr Enta is a Clinical Professor of Medicine (Dermatology) at the University of Calgary. Dr Adams is a Clinical Lecturer in Dermatology at the University of Calgary.

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