PMC7357047_01
Erythematous to violaceous macules and papules on the distal portion of the (a) fingers and (b) toes few months after the initial presentation of the patient.
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Physical examination demonstrated erythematous to violaceous macules and edematous papules on the distal portion of the fingers and toes (Figure 1(a) and (b)).
A complete resolution of the lesions can be seen on the (a) fingers and (b) toes few months after the gluten-free diet was introduced.
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A gluten-free diet was then established and cutaneous symptoms greatly improved in the following months (Figure 2(a) and (b)).