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Diseases associated with dermatitis herpetiformis

T Reunala1, P Collin

  • 1Department of Dermatology, University of Helsinki, Finland.

The British Journal of Dermatology
|March 1, 1997
PubMed
Summary
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Patients with dermatitis herpetiformis (DH) often have associated endocrine or connective tissue disorders, similar to those with coeliac disease (CD). These conditions typically develop before DH diagnosis, indicating no increased risk from a gluten-free diet.

Area of Science:

  • Immunodermatology
  • Gastroenterology
  • Endocrinology

Background:

  • Dermatitis herpetiformis (DH) is an autoimmune blistering skin disease.
  • Coeliac disease (CD) is a related autoimmune disorder affecting the small intestine.
  • Understanding associated comorbidities in DH is crucial for patient management.

Purpose of the Study:

  • To investigate the prevalence of associated endocrine and connective tissue disorders in patients with DH.
  • To compare these associations with those observed in patients with CD.
  • To determine if a gluten-free diet influences the risk of developing these associated conditions.

Main Methods:

  • A cohort study of 305 patients with DH followed for a mean of 10 years.
  • Comparison group of 383 patients with CD.

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  • Retrospective analysis of diagnosed concomitant diseases.

    • Main Results:

    • 9.5% of DH patients and 19.1% of CD patients had associated endocrine or connective tissue disorders.
    • Common associations included autoimmune thyroid disease, insulin-dependent diabetes, lupus erythematosus, Sjögren's syndrome, sarcoidosis, and vitiligo/alopecia areata.
    • Most associated diseases predated DH diagnosis.

    Conclusions:

    • Patients with DH share similar comorbidity profiles with CD patients regarding endocrine and connective tissue disorders.
    • The onset of these associated diseases typically precedes DH diagnosis.
    • A gluten-free diet does not appear to confer a special risk for developing these comorbidities.