Dermatitis Herpetiformis

Dermatitis herpetiformis is a highly itchy, chronic, autoimmune, papulovesikulärer rash in patients who have celiac disease. Typical findings are clusters of highly pruritic, erythematous, urticarial lesions and vesicles, papules and bullae which are usually distributed symmetrically on extensor surfaces. The diagnosis is made by skin biopsy with direct immunofluorescence tests. Treatment is usually with dapsone or sulfapyridine and a gluten-free diet.

Dermatitis herpetiformis is common in young people, but can also occur in children and the elderly. In black and Asian people the disease is rare.

Dermatitis herpetiformis is a highly itchy, chronic, autoimmune, papulovesikulärer rash in patients who have celiac disease. Typical findings are clusters of highly pruritic, erythematous, urticarial lesions and vesicles, papules and bullae which are usually distributed symmetrically on extensor surfaces. The diagnosis is made by skin biopsy with direct immunofluorescence tests. Treatment is usually with dapsone or sulfapyridine and a gluten-free diet. Dermatitis herpetiformis is common in young people, but can also occur in children and the elderly. In black and Asian people the disease is rare. All patients with dermatitis herpetiformis have celiac disease, but is usually asymptomatic. Dermatitis herpetiformis develops in 15-25% of patients with celiac disease. The patient may have a higher incidence of other autoimmune diseases (including thyroid disease, pernicious anemia and diabetes) and small bowel lymphoma. IgA deposits accumulate in the tips of the dermal papillae and attract neutrophils. They can be eliminated by a gluten-free diet. The term “herpetiformis” refers to the clustered appearance of lesions (similar to those of a herpes viral infection), but does not indicate a causal relationship with the herpes virus. Symptoms and complaints The outbreak of the disease can be acute or gradual. The vesicles, papules and urticarial lesions are mostly symmetrically on the extensor surfaces distributed (elbows and knees and the sacrum, buttocks, the occiput). The lesions itch and burn. Because the itching intense and the skin is sensitive, the bubbles tend to burst quickly. This makes it difficult many times, yet to be discovered intact vesicles. Oral lesions may develop, but are usually asymptomatic. Iodide and iodine supplements can worsen the symptoms of the skin. Dermatitis herpetiformis Image courtesy of the Public Health Image Library of the Centers for Disease Control and Prevention. var model = {thumbnailUrl: ‘/-/media/manual/professional/images/dermatitis_herpetiformis_high_de.jpg?la=de&thn=0&mw=350’ imageUrl: ‘/-/media/manual/professional/images/dermatitis_herpetiformis_high_de.jpg?la = en & thn = 0 ‘, title:’ dermatitis herpetiformis ‘description:’ u003Ca id = “v37894568 ” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “”para “” u003e u003cp u003eDermatitis herpetiformis is generally symmetrically distributed by accumulations highly pruritic

Health Life Media Team

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