Dermatitis herpetiformis: Difference between revisions

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Epidemiology and Demographics
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Diagnosis
History and Symptoms
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Case #1
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Revision as of 13:27, 25 August 2014

For patient information, click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Synonyms and keywords: Duhring disease; Duhring-Brocq disease

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Dermatitis herpetiformis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

Physical Examination

Skin

Trunk

Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]

Extremities

Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]
Dermatitis herpetiformis. Adapted from Dermatology Atlas.^[1]

Treatment

Medical Therapy | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

Related Chapters

Template:Vesiculobullous disease

de:Dermatitis herpetiformis Duhring sq:Dermatitis herpetiformis

Template:WikiDoc Sources

↑ ^1.00 ^1.01 ^1.02 ^1.03 ^1.04 ^1.05 ^1.06 ^1.07 ^1.08 ^1.09 ^1.10 ^1.11 ^1.12 ^1.13 ^1.14 ^1.15 ^1.16 ^1.17 ^1.18 ^1.19 ^1.20 ^1.21 ^1.22 ^1.23 ^1.24 ^1.25 ^1.26 ^1.27 ^1.28 ^1.29 ^1.30 ^1.31 ^1.32 ^1.33 ^1.34 ^1.35 ^1.36 ^1.37 ^1.38 ^1.39 ^1.40 ^1.41 ^1.42 ^1.43 ^1.44 ^1.45 ^1.46 ^1.47 ^1.48 ^1.49 ^1.50 ^1.51 ^1.52 "Dermatology Atlas".

[Dermatology_Atlas-1] 1.00 ^1.01 ^1.02 ^1.03 ^1.04 ^1.05 ^1.06 ^1.07 ^1.08 ^1.09 ^1.10 ^1.11 ^1.12 ^1.13 ^1.14 ^1.15 ^1.16 ^1.17 ^1.18 ^1.19 ^1.20 ^1.21 ^1.22 ^1.23 ^1.24 ^1.25 ^1.26 ^1.27 ^1.28 ^1.29 ^1.30 ^1.31 ^1.32 ^1.33 ^1.34 ^1.35 ^1.36 ^1.37 ^1.38 ^1.39 ^1.40 ^1.41 ^1.42 ^1.43 ^1.44 ^1.45 ^1.46 ^1.47 ^1.48 ^1.49 ^1.50 ^1.51 ^1.52 "Dermatology Atlas".

[1]

@@ Line 29: / Line 29: @@
 ===Physical Examination===
 ====Skin====
+=====Trunk=====
 <gallery>
 Image:Dermatitis herpetiformis01.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
@@ Line 50: / Line 51: @@
 Image:Dermatitis herpetiformis10.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
-Image:Dermatitis herpetiformis11.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+Image:Dermatitis herpetiformis15.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+Image:Dermatitis herpetiformis26.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+Image:Dermatitis herpetiformis27.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+Image:Dermatitis herpetiformis28.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+Image:Dermatitis herpetiformis29.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+Image:Dermatitis herpetiformis30.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+Image:Dermatitis herpetiformis31.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+Image:Dermatitis herpetiformis32.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+Image:Dermatitis herpetiformis33.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+</gallery>
+=====Extremities=====
+<gallery>
+Image:Dermatitis herpetiformis09.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Dermatitis herpetiformis12.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
@@ Line 57: / Line 82: @@
 Image:Dermatitis herpetiformis14.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
-Image:Dermatitis herpetiformis15.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Dermatitis herpetiformis16.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Dermatitis herpetiformis17.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Dermatitis herpetiformis18.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Dermatitis herpetiformis19.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Dermatitis herpetiformis20.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Dermatitis herpetiformis21.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Dermatitis herpetiformis22.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Dermatitis herpetiformis23.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Dermatitis herpetiformis24.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Dermatitis herpetiformis25.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
-Image:Dermatitis herpetiformis26.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
-Image:Dermatitis herpetiformis27.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
-Image:Dermatitis herpetiformis28.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
-Image:Dermatitis herpetiformis29.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
-Image:Dermatitis herpetiformis30.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
-Image:Dermatitis herpetiformis31.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
-Image:Dermatitis herpetiformis32.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
-Image:Dermatitis herpetiformis33.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Dermatitis herpetiformis34.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Dermatitis herpetiformis35.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
@@ Line 117: / Line 124: @@
 Image:Dermatitis herpetiformis52.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Dermatitis herpetiformis53.jpg|Dermatitis herpetiformis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 </gallery>

v t e Diseases of the skin and subcutaneous tissue (integumentary system) (L, 680-709)
Infections	Template:Navbox subgroup
Bullous disorders	acantholysis (Pemphigus, Transient acantholytic dermatosis) · Pemphigoid (Bullous, Cicatricial, Gestational) · Dermatitis herpetiformis
Inflammatory	Template:Navbox subgroup
Radiation-related disorders	Sunburn · actinic rays (Actinic keratosis, Actinic cheilitis) · Polymorphous light eruption (Acne aestivalis) · Radiodermatitis · Erythema ab igne
Pigmentation disorder	hypopigmentation (Albinism, Vitiligo) · hyperpigmentation (Melasma, Freckle, Café au lait spot, Lentigo/Liver spot, Acanthosis nigricans, Acral acanthotic anomaly)
Other skin	keratosis/hyperkeratosis (Seborrheic keratosis, Callus) · other epidermal thickening (Ichthyosis acquisita, Palmoplantar keratoderma) skin ulcer (Pyoderma gangrenosum, Bedsore) Cutaneous Markers of Internal Malignancy (Florid cutaneous papillomatosis, acanthosis nigricans, sign of Leser-Trelat) atrophic (Lichen sclerosus, Acrodermatitis chronica atrophicans) necrobiosis (Granuloma annulare, Necrobiosis lipoidica) · other granuloma (Granuloma faciale, Pyogenic granuloma) cutaneous vasculitis (Livedoid vasculitis, Erythema elevatum diutinum)
Connective tissues	collagen disease: Keloid localized connective tissue disorders: Lupus erythematosus (Discoid lupus erythematosus, Subacute cutaneous lupus erythematosus) · Scleroderma/Morphea · Linear scleroderma · Calcinosis cutis · Sclerodactyly · Ainhum
see also congenital, neoplasia