Concomitant Dermatitis Herpetiformis and Plaque Psoriasis: Possible Skin Manifestations of Celiac disease

Agustí-Mejias, Anna; Messeguer, F.; Ruiz, Ramón García; Unamuno, Blanca de; Pérez‐Ferriols, A.; Sánchez‐Carazo, J.L.; Miquel, Víctor Alegre de

doi:10.1016/j.adengl.2010.10.003

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…DH is a common extraintestinal manifestation of CD, with a prevalence ratio of 1:8 [6]. To our knowledge, the coexistence of DH and chronic plaque psoriasis is rare and has only been described in case reports [2][3][4]. The current literature, however, supports an association between psoriasis and CD, which would explain a possible connection between psoriasis and DH.…”

Section: Discussionmentioning

confidence: 83%

“…Chronic plaque psoriasis is frequently complicated by autoimmune bullous diseases such as pemphigoid and pemphigus [1]. To the best of our knowledge, the coexistence of psoriasis and other immunobullous eruptions such as dermatitis herpetiformis (DH) is rare, and has only been described in anecdotal reports [2][3][4]. DH is an autoimmune bullous disease that has been linked to celiac disease (CD), a gluten-sensitive enteropathy.…”

Section: Introductionmentioning

confidence: 99%

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Development of Dermatitis Herpetiformis in Chronic Plaque Psoriasis

2021

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Chronic plaque psoriasis is often associated with autoimmune bullous diseases. Dermatitis herpetiformis (DH) is a rare immunobullous disease that has been linked to celiac disease (CD). To our knowledge, the coexistence of psoriasis and DH is uncommon, and has only been described in anecdotal reports. We report a case of chronic plaque psoriasis complicated by DH in a 60-year-old patient with no known history of CD or associated symptoms. In our patient, DH presented atypically as multiple vesicles along the edges of psoriatic plaques located on the back and hips, and as vesiculobullous eruptions on the fingers. The patient was successfully treated with a combination of dapsone and a gluten-free diet for DH, and secukinumab for psoriasis. This case highlights the importance of screening for CD in patients with psoriasis, as well as other concomitant autoimmune diseases. A gluten-free diet should be trialled in psoriatic patients with positive CD serology.

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Section: Discussionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Development of Dermatitis Herpetiformis in Chronic Plaque Psoriasis

2021

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“…On the other hand, association with dermatitis herpetiformis is very rare with only some anecdotal reports. 4 Most of these patients were treated only by gluten-free diet or in combination with dapsone. 5 To the best of our knowledge, none of these patients had been on a biologic agent and therefore there is no clinical evidence so far on the safety of combinations of sulfones and biologics.…”

Section: Long-term Combination Therapy Of Ustekinumab and Dapsone In mentioning

confidence: 99%

Long‐term combination therapy of ustekinumab and dapsone in a patient with psoriasis and dermatitis herpetiformis Duhring

Gkalpakiotis

Arenberger

Sticová

et al. 2012

The Journal of Dermatology

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Rare Co-Existent Dermatitis Herpetiformis and Psoriasis in a Child: A Causal Relationship?

Singh¹,

Ganguly²,

Chhabra³

et al. 2022

Cureus

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Dermatitis herpetiformis (DH) is an auto-inflammatory skin disease that is linked to gluten sensitivity and is related to celiac disease (CD). Psoriasis is an inflammatory skin disorder found to have an association with the celiac disease, according to various genetic and epidemiological studies. We report a 12-year-girl who presented with multiple tense blisters along with red raised, scaly and itchy lesions over her body. She was a known case of psoriasis and was diagnosed as dermatitis herpetiformis in an immunofluorescence study. In this case report, we want to highlight the fact that the co-existence of dermatitis herpetiformis and psoriasis could be more than a mere coincidence. In our patient's previously uncontrolled psoriasis and dermatitis herpetiformis both improved after a gluten-free diet along with systemic therapy.

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Concomitant Dermatitis Herpetiformis and Plaque Psoriasis: Possible Skin Manifestations of Celiac disease

Cited by 3 publications

References 10 publications

Development of Dermatitis Herpetiformis in Chronic Plaque Psoriasis

Development of Dermatitis Herpetiformis in Chronic Plaque Psoriasis

Long‐term combination therapy of ustekinumab and dapsone in a patient with psoriasis and dermatitis herpetiformis Duhring

Rare Co-Existent Dermatitis Herpetiformis and Psoriasis in a Child: A Causal Relationship?

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