Aka: Dermatitis Herpetiformis. These images are a random sampling from a Bing search on the term "Dermatitis Herpetiformis. Search Bing for all related images. Started in , this collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters. Content is updated monthly with systematic literature reviews and conferences.
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Was a pleasure to read Dr. Lesions usually begin with itching or burning sensation and erythematous papules or urticarial plaques. Grouped vesicles with centrifugal growth, with serous or hemorrhagic contents and symmetrical distribution were typical. Exulcerated skin and crusts were also seen, followed by residual hypo or hyperpigmentation. Even though, all the 14 patients were referred to Gastroenterology, only 6 of them pursue the specialist evaluation.
This group, were probably bothered by abdominal symptoms. Two of these patients had Celiac disease confirmed by the intestinal biopsy. The 14 patients had the typical deposition of IgA immunoglobulin in a granular pattern at the top of the dermal papilla in the basement membrane. Most of these patients eight had more than one direct immunofluorescence DIF examination to confirm this finding.
Since it is well known that DIF deposits can only be irradicated through a gluten-free diet for several years 1 , 2 , sampling and DIF technique may be a problem in our group. As reported in the literature, thyroid disease was seen in two cases and type I diabetes in one case. Regardless the evidence that a gluten-free diet alone improve or even lead to complete remission of skin lesions in DH, only one patient followed the diet for more than 4 months.
Dapsone was the first therapeutic option in all cases. Variable dosages, from mg a week to mg a day were necessary for successful control of the skin lesions. Tetracycline 2 g, together with nicotinamide 1. Over this 3-year period, several patients were clinically suspected of having DH because they present pruritic lesions on extensor areas, they were not included in this evaluation, even though some of them had some improvement with DH treatment, demonstrating that the skin disease may be more frequent than we suspect.
I appreciate the interest of Dr. Brenner regarding my revision of Dermatitis herpetiformis. This paper will demonstrate similar data and can estimulate other authors to report their findings. Katz SI. Dermatitis Herpetiformis. Dermatology in General Medicine. New York: McGraw-Hill. Review: dermatitis herpetiformis. An Bras Dermatol. Correspondence: Fabiane Mulinari Brenner Andrade. E-mail: fmbrenner ufpr. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Services on Demand Journal. Two of these patients had Celiac disease confirmed by the intestinal biopsy The 14 patients had the typical deposition of IgA immunoglobulin in a granular pattern at the top of the dermal papilla in the basement membrane. Rua Dr. How to cite this article.
This table lists symptoms that people with this disease may have. For most diseases, symptoms will vary from person to person. People with the same disease may not have all the symptoms listed. The HPO collects information on symptoms that have been described in medical resources. The HPO is updated regularly. If you need medical advice, you can look for doctors or other healthcare professionals who have experience with this disease. You may find these specialists through advocacy organizations, clinical trials, or articles published in medical journals.
Dermatitis herpetiforme en joven con enfermedad celiaca silente. Virtual Soc. ISSN Dermatitis herpetiformis, also called Duhring-Brocq disease, is a recurrent disease characterized by symmetric chronic papulo-vesicular eruption, mainly located in extension surfaces, and intense pruritus. It is associated with a gluten-sensitive enteropathy. Its diagnosis is based on clinics, pathological anatomy and direct immunofluorescence apart from serological tests.
Dermatitis herpetiformis DH is a chronic autoimmune blistering skin condition,  characterised by blisters filled with a watery fluid  that is intensely itchy. DH is a cutaneous manifestation of Coeliac disease. Dermatitis herpetiformis was first described by Louis Adolphus Duhring in The age of onset is usually about 15—40, but DH also may affect children and the elderly. Men are slightly more affected than women.
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