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Dermatitis Herpetiformis

Faraz Yousefian, DO and Sujitha Yadlapati, MD Reviewed 05/2023
 


BASICS

DESCRIPTION

  • Dermatitis herpetiformis (DH) is an autoimmune disease that presents as a chronic, relapsing, polymorphous, intensely pruritic, erythematous papulovesicular eruption with symmetrical...

DIAGNOSIS

Diagnosis of DH involves a clinicopathologic correlation between clinical presentation, histologic and direct immunofluorescence (DIF) evaluation, serology, and response to therapy or dietar...

TREATMENT

GENERAL MEASURES

GFD is the mainstay of treatment in DH and can lead to the complete resolution of symptoms (2,3). Typically, requires 18 to 24 months of strict adherence to GFD prior to the...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Every 6 to 12 months by a physician and a dietitian to evaluate GFD adherence and recurrence of symptoms.

  • Adherence to GFD can be monitored with ...

REFERENCES

1
Bolotin D, Petronic-Rosic V. Dermatitis herpetiformis. Part I. Epidemiology, pathogenesis, and clinical presentation. J Am Acad Dermatol. 2011;64(6); :1017–1024. doi:10.1016/j.jaad.2010.09...

SEE ALSO

  • Celiac Disease

  • Algorithm: Rash

CODES

ICD10

L13.0 Dermatitis herpetiformis 

SNOMED

111196000 Dermatitis herpetiformis (disorder) 

CLINICAL PEARLS

DH is a chronic, relapsing, intensely pruritic rash that has a strong association with GSE. 

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