Dermatitis Herpetiformis Flashcards
1
Q
What is DH?
A
Autoimmune blistering disorder
Males > females
2
Q
DH associated with?
A
Celiac disease
3
Q
Pathogenesis of DH
A
Gliadin is the antigen, the body makes IgA, and then this antibody loses its way and attack reticulin in the skin forming small grouped vesicles/ bullae (supepidermal blister)
4
Q
Direct immunofluorescence
A
granular deposits of IgA in the tips of dermal papillae
5
Q
Skin biopsy
A
Subepidermal blisters
Neutrophil microabscess in the dermal papillae
6
Q
Tx
A
Resolves with gluten-free diet