Dermatitis herpetiformis natural history, complications and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Natural History

This chronic rash is rarely widely distributed. The vesicles on the rash are rare to be noticed because of intense itching which is relieved with scratching and rupture of the vesicles. The rash can be controlled with the use of antibiotic and gluten free diet.

Complications

Thyroid disease may be found in many patients with dermatitis herpetiformis. Patients are also more likely to develop certain cancers of the intestines.

Prognosis

The disease may be well controlled with treatment. Without treatment, there may be a significant risk of intestinal cancer.