RT Journal Article
SR Electronic
T1 Dermatitis herpetiformis and rheumatoid arthritis
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 881
OP 884
VO 27
IS 6
A1 Aydog, Ece
A1 Yesilli, Okan
A1 Sever, Aslihan
A1 Usan, Hicran
YR 2006
UL http://smj.org.sa/content/27/6/881.abstract
AB Dermatitis herpetiformis DH is a rare, intensely pruritic, chronic, recurrent, papulovesicular disease. The disease can be clearly distinguished from the other subepidermal blistering eruptions by histologic, immunologic, and gastrointestinal criteria. Most patients have an associated gluten-sensitive enteropathy GSE that is usually asymptomatic. Both enteropathy and the dermatologic findings disappear with a gluten-free diet, therefore, DH is thought to be the specific dermatologic finding of celiac disease CD. An association between CD and autoimmune disease has been documented in several studies. Similar associations have been reported in DH. We report a 46-year-old man with DH diagnosed more than 10 years previously who developed GSE, pernicious anemia, and rheumatoid arthritis in the following years.