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Dermatitis Herpetiformis Updated 3/2011

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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • General Prevention
  • Pathophysiology
  • Etiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Additional Treatment

Ongoing Care

  • Follow-Up Recommendations
  • Diet
  • Patient Education
  • Prognosis
  • Complications
The following is an excerpt....
BASICS

Description
  • Dermatitis herpetiformis (DH) is a chronic, intensely pruritic papulovesicular eruption involving primarily extensor skin surfaces (elbows, knees, buttocks, back) and the scalp.
  • DH is distinguished from other bullous diseases by characteristic histologic and immunologic findings, as well as associated gluten-sensitive enteropathy (1).
  • Within the spectrum of gluten-sensitive disorders, which include celiac disease (CD), some forms of IgA nephropathy, and gluten-sensitive ataxia (2)
  • System(s) affected: Skin
  • Synonym(s): Duhring disease
Epidemiology
  • Occurs most frequently in those of Northern European origin
  • Rare in persons of Asian or African-American origin
  • Predominant age: Most common between the ages of 30 and 40 years but may occur in children
  • Predominant sex: Male > Female (1.4:1 in the ...

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