A 54-year old man with atypical dermatitis herpetiformis Duhring lasting about three years is reported. The lesions were located exclusively in the pubic area, groins, inner thighs and perianal regions. Routine histopathology and the direct as well as the indirect immunofluorescence supported the diagnosis. Application of a gluten-free diet and dapsone alleviated the symptoms.

DERMATITIS herpetiformis (DH) is an intensely itchy dermatosis of a chronic nature. Although the lesions most often consist of tense vesicles grouped on the extensor surfaces of the body, they may also be erythematous, urticarial or papular and more diffuse. As a result of the intense itch the lesions are excoriated and frequently present as small crusted areas. Thus other parameters are necess...

The effect of fat malabsorption on the absorption and renal excretion of dietary oxalate was studied in four patients with sprue and in two patients with dermatitis herpetiformis and sprue-like jejunal histology. Hyperoxaluria was present in all patients with sprue when fat malabsorption was severe. Urinary oxalate excretion decreased in two of the three patients with coeliac sprue when their f...

I have read with interest the case report entitled “Dermatitis herpetiformis and rheumatoid arthritis” by Aydog and colleagues,1 and I would like to add some comments to this interesting case. Actually, it is basic knowledge that direct immunofluorescence should always be positive in dermatitis herpetiformis (DH) and if there is a high degree of clinical suspicion, serial sections and multiple ...

Celiac disease is commonly associated with elevated liver enzymes that normalize on a gluten-free diet. Celiac disease is rarely described in patients with primary biliary cholangitis. Dermatitis herpetiformis is the skin manifestation of the celiac disease that is very rarely associated with primary biliary cirrhosis. We present the case of a 62-year-old man who presented with severe chronic p...

Linear IgA disease (LAD) is a chronic, acquired, autoimmune bullous disease. Generalized bullous eruptions is not unusual in the intensive care unit. The cause can be idiopathic, autoimmune, or drug induced but prompt recognition is crucial to their management. The autoimmune blistering skin diseases are a heterogeneous group of diseases associated with autoantibodies that are directed against ...