INFO and Related Links on Dermatitis Herpetiformis

The Canadian Celiac Association definition of DH
Dermatitis Herpetiformis - lecture by Speaker Dr. K. PAPP
More detailed version of  DH lecture by Dr. Papp
Question & Answer Period with Dr. Papp
A study on DH from Nutramed
Dermatitis Herpetiformis (Duhring's Disease)
Dermatitis herpetiformis lesions consist of extremely itchy, tense, grouped herpetiform vesicles usually 3 to 6 mm in diameter and occurring in a distinctive distribution over the elbows, knees, buttocks, upper back, and posterior scalp. Because of excoriation, round crusts are often the only visible sign of the disease. The gold standard for diagnosis is biopsy with direct immunofluorescence of lesional or normal skin showing IgA deposits, usually in a granular pattern at the tips of dermal papillae. About 90% of patients will have evidence of gluten-sensitive enteropathy on small-bowel biopsy.

Itchy elbows, knees, scalp, Blisters not always seen
Cause: gliadin hypersensitivity
Associated with gluten enteropathy
Dapsone is very effective.
Diet takes 12 months to reduce itch effectively, but also reduces lymphoma risk

Coeliac Society of Australia has relative DH Info.
A brief explanation & pics Indiana University
Queensland Coeliac Society
This page has images of various skin lesions from the University of Iowa
Is the Skin & Cancer Foundation in Australia has DH Info.
A post of an article ran in the Sprue nik Press, regarding a CCA Dept. of Dermatology - University of Iowa College of Medicine

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