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afya Dermatitis herpetiformis

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20160425222351 Ben  
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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,