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Skin Diseases and Disorders01:23

Skin Diseases and Disorders

Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Drug Toxicity: Allergic Reactions01:30

Drug Toxicity: Allergic Reactions

Drug-related allergies are immune-mediated responses triggered by the administration of pharmacological agents. These hypersensitivity reactions are classified based on the immune mechanisms involved. The four primary types—Type I, II, III, and IV—are mediated by different immunological pathways and exhibit distinct clinical manifestations.Type I Hypersensitivity/ IgE-Mediated Reactions: Immunoglobulin E (IgE) immediately mediates Type I hypersensitivity reactions. Upon initial exposure to a...
Hypersensitivity Reactions: Delayed Hypersensitivity Reactions01:29

Hypersensitivity Reactions: Delayed Hypersensitivity Reactions

Delayed-Type Hypersensitivity (DTH), or Type IV hypersensitivity, is a cell-mediated immune response. It occurs when T cells, rather than antibodies, mediate a reaction to specific antigens. It is characterized by a delayed onset (1-2 days) and involves the recruitment of macrophages to the inflammation site.The initiation of a DTH response begins with the sensitization of T cells. During this phase, which lasts at least 1-2 weeks, antigen-specific T cells are activated, clonally expanded, and...
Chronic Inflammation: Introduction01:12

Chronic Inflammation: Introduction

Chronic inflammation is a prolonged, dysregulated immune response that persists for weeks to years when the inciting stimulus is difficult to eradicate or when self‑antigens drive ongoing reactivity. Morphologically, it is defined by mononuclear cell infiltration, progressive tissue destruction, and concurrent attempts at healing via angiogenesis and fibrosis. Compared with acute inflammation, edema is less prominent while cellular infiltration predominates; triggers include persistent...
Inflammatory Bowel Disease III: Crohn's Disease01:25

Inflammatory Bowel Disease III: Crohn's Disease

Crohn’s disease is a chronic, relapsing form of inflammatory bowel disease characterized by segmental, transmural inflammation that can affect any part of the gastrointestinal tract. Its pathogenesis arises from a combination of genetic susceptibility, environmental exposures, epithelial barrier dysfunction, and immune dysregulation. Together, these factors lead to an exaggerated immune response against components of the gut microbiome.Genetic and Environmental InfluencesMultiple genetic...
Hypersensitivity Reactions: Immune-Complex Reactions01:19

Hypersensitivity Reactions: Immune-Complex Reactions

Type III hypersensitivity reactions occur when antigen–antibody complexes form and activate the complement system. Normally, these complexes help the clearance of antigens by phagocytes and red blood cells. However, when large numbers of immune complexes are present, they can deposit in tissues—particularly in the walls of blood vessels—leading to inflammation and tissue injury. These deposits trigger complement activation and neutrophil recruitment, resulting in serum sickness, a systemic...

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Related Experiment Video

Updated: Jun 25, 2026

Recognition of Epidermal Transglutaminase by IgA and Tissue Transglutaminase 2 Antibodies in a Rare Case of Rhesus Dermatitis
10:27

Recognition of Epidermal Transglutaminase by IgA and Tissue Transglutaminase 2 Antibodies in a Rare Case of Rhesus Dermatitis

Published on: December 15, 2011

Interstitial granulomatous dermatitis secondary to soy.

Senait W Dyson1, Ann Hirsch, Christine Jaworsky

  • 1Department of Dermatology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio 44106, USA.

Journal of the American Academy of Dermatology
|July 29, 2004
PubMed
Summary
This summary is machine-generated.

A papular skin eruption in a woman was linked to soy products after she adopted a vegetarian diet. Removing soy resolved the interstitial granulomatous dermatitis, confirming a novel dietary trigger.

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Area of Science:

  • Dermatology
  • Immunology
  • Nutrition

Background:

  • A 58-year-old woman presented with a chronic, asymptomatic papular eruption affecting the neck, face, trunk, and limbs.
  • The eruption began 8 years prior, coinciding with the initiation of a strict vegetarian diet.
  • Individual lesions resolved within 3-5 days without scarring but were accompanied by ocular symptoms like burning and tearing.

Observation:

  • Histopathological examination of a biopsy specimen revealed interstitial granulomatous dermatitis.
  • This specific pattern of inflammation presented without evidence of vascular damage, collagen alteration, or atypical mononuclear cells.
  • The patient's skin eruption completely resolved upon elimination of soy products from her diet.

Findings:

  • The papular eruption recurred upon reintroduction of even minimal amounts of soy into the patient's diet.
  • This establishes a clear causal link between soy consumption and the development of interstitial granulomatous dermatitis in this individual.
  • This case represents the first reported instance of interstitial granulomatous dermatitis associated with soy product intake.

Implications:

  • Soy products can act as a trigger for specific inflammatory skin conditions, such as interstitial granulomatous dermatitis.
  • This finding expands the differential diagnosis for granulomatous dermatitides and highlights the importance of dietary history in dermatological assessments.
  • Further research is warranted to investigate the immunological mechanisms underlying soy-induced dermatitis and to identify other potential dietary triggers.