Definition

• Dermatitis herpetiformis (DH) is an intensely pruritic, papulovesicular immunologically mediated skin disease.
• It occurs on extensor skin surfaces.
• Almost all patients with DH have an associated, usually subclinical, gluten-sensitive enteropathy (celiac disease).
• Gluten ingestion exacerbates DH and is a main target of therapy.
  

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