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The Old Endoscopy Quiz (and Answer) of the Month
February 2008

the GASTROLAB Home Page
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Question:

Click on the image above to start the slide show!

Correct answer:

Erythema elevatum diutinum, a very rare skin disease indeed! It might however be nice to know this disorder, as it can be cured by a glutenfree diet if it is associated with coeliac disease.

Slideshow: Erytema elevatum diutinum and coeliac disease

Erythema elevatum diutinum A very rare chronic skin disease causing typical red or brown papules on the back of the hands, buttocks, elbows and legs. This disease was first descibed by Hutchinson in 1888 and by Bury in the following year (and hence it is sometimes called Bury´s disease). It is a type of leukocytoclastic vasculitis the cause of which is unknown but it can be associated with rheumatologic or haematologic disorders or viral infections. A skin biopsy is needed for diagnosis. The disease can spontaneuously dissappear after 5 - 25 years. Dapsone is the drug most used in the treatment and is usually effective.. The disease can be associated with coeliac disease and can then be cured with a glutenfree diet.

Correct answers and comments were emailed by

ENGİN YILDIRIM, TEKİRDAĞ YAŞAM HASTANESİ, Turkey

Anthony Wayne Statue in Fort Wayne, Indiana, USA © Dr.Virendra Parikh, Fort Wayne, USA, INDIANA
ESIN KABUL, ISTANBUL, TURKEY
Mario Galluzzi, Lecco, Italy
CHITRA, CHENNAI, INDIA/TAMILNADU
Zahreddine Radwan, Beirut, Lebanon
waleed nabwey, Cairo, EGYPT
VETERİNARY MEDICINE MAKBULE DÜNDAR, GÜZELYALI, İZMİR /TURKEY
Claudia Iacobescu, Bucharest, Romania

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