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afya
Dermatitis herpetiformis
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> Autoimmune blistering skin disorder associated with coeliac caused by IgA in dermis very //itchy// subepidermal vesicles (but excoriated to raw papules), //extensor surfaces// (elbows, knees, buttocks) 3rd 4th decade, M>F associated with coeliac Ix - skin biopsy (direct immunoflourescence - granular patturn), jejunal biopsy, FBC, folate Mx dapsone (beware hamolysis) gluten free diet ? steroid / abs,
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Dermatitis