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Dermatitis herpetiformis may be common in patients with celiac disease


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Journal
JAMA Dermatology
Reuters Health - 20/10/2020 - As many as 8% of patients with celiac disease (CD) may also have dermatitis herpetiformis (DH), and these patients are less likely to receive counseling on gluten-free diets, suggests an online survey. More than 90% of patients with DH have an associated gluten-sensitive enteropathy, but the prevalence of DH among patients with CD and the characteristics of this group remain unclear. To investigate, Dr. Bridget E. Shields and colleagues of the Perelman School of Medicine, in Philadelphia, examined data on 3,775 patients in the Celiac Disease Foundation's survey-based iCureCeliac patient-powered research network. All patients had a diagnosis of CD, refractory CD, or DH. The broad definition of DH included all patients with self-reported DH, and the strict definition included self-reported DH with diagnosis confirmed by results of skin biopsy. The prevalence of DH in this group was 2.17% using the strict definition and 7.95%...


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