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Updated: Sep 11, 2025

Recognition of Epidermal Transglutaminase by IgA and Tissue Transglutaminase 2 Antibodies in a Rare Case of Rhesus Dermatitis
Published on: December 15, 2011
Elevated tissue transglutaminase immunoglobulin A: Celiac disease or polytypic plasmacytosis?
Andrew Turunen1, Aisha Ahmed2, Philip Thrush3
1Medical College of Wisconsin Milwaukee Wisconsin USA.
None:
We report a case of an adolescent girl post cardiac transplant with hypergammaglobulinemia and presumed celiac disease (CD), who had a persistently elevated anti-tissue transglutaminase immunoglobulin A despite a gluten free diet. Refractory CD and Crohn's disease were excluded. Concomitant dairy elimination led to normalization of celiac titers but no histological improvement. Ultimately, she was diagnosed with polytypic plasmacytosis from suspected immune dysregulation.
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