Dermatitis herpetiforme: Reporte de un caso

Julio C. Salas Alanis, Martha S. Gomez Peña, Rodrigo Cepeda Valdes

Resultado de la investigaciónrevisión exhaustiva

Resumen

Dermatitis herpetiformis is a chronic autoimmune blistering disease, first described in 1884 by Louis Duhring. It is characterized by erythematous plaques composed by papules and vesicles, some of them excoriated. The classical clinical presentation is on extensor surface of the extremities, but it can be generalized. Dermatitis herpetiformis is characterized by the deposition of immunoglobulin A (IgA) and transglutaminase 3 (TGe) complexes in the papillary dermis, as a result of chronic stimulation of the intestinal mucosa by dietary gluten, producing the typical lesions. The diagnosis is based on clinical appearance, and the histopathology findings in hematoxylin and eosin stain, and direct immunofluorescence showing deposition of IgA in a granular pattern in the papillary dermis. The treatment includes a gluten-free diet and dapsone, considered the first-line drug therapy. We discuss a 51-year-old female case, with dermatitis herpetiformis, and an excellent response to dapsone.
Idioma originalSpanish
Páginas (desde-hasta)186-189
Número de páginas4
PublicaciónDermatologia Cosmetica, Medica y Quirurgica
Volumen9
N.º3
EstadoPublished - 1 jul 2011
Publicado de forma externa

All Science Journal Classification (ASJC) codes

  • Cirugía
  • Dermatología

Citar esto