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https://doi.org/10.14300/mnnc.2020.15013

Clinical polymorphism of dermatitis herpetiformis and atopic dermatitis, as diseases associated with celiakia

[Dermatology]
Elena Vladimirovna Svechnikova; Zareta Bagauddinovna Marshani; Kermen Valerievna Purveeva;

Atopic dermatitis and dermatitis herpetiformis (Duhring’s disease) represent chronic relapsing disease of the skin characterized by true polymorphism of rash. Despite the well-known diagnostic criteria, the similarity of the clinical picture of the mentioned diseases causes difficulties in the differential diagnosis in clinical practice. Herpetiform dermatitis as a manifestation of gluten-sensitive enteropathy is currently regarded as a skin-intestinal disorder. The article provides statistical data and basic information about herpetiform dermatitis and atopic dermatitis, addresses the complex issues of their differential diagnosis and diagnostic criteria. The clinical case of herpetiform dermatitis in a patient with established celiac disease, previously observed for a long time in various medical institutions with a diagnosis of atopic dermatitis, is presented.

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Keywords: dermatitis herpetiformis, Duhring’s disease, atopic dermatitis, celiac disease, dapsone