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June 1998, Vol 134, No. 6 >

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Correspondence | June 1998

Oral Mucosa Is Frequently Affected in Patients With Dermatitis Herpetiformis

Hannu Lähteenoja, MD, DDS; Kerttu Irjala, MD; Markku Viander, MD; Eeva Vainio, MD; Auli Toivanen, MD; Stina Syrjänen, DDS
Arch Dermatol. 1998;134(6):756-758. doi:.
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Dermatitis herpetiformis (DH) is a lifelong itching, blistering skin disease. Most patients have an associated gluten-sensitive enteropathy or coeliac disease (CDL)1 characterized histologically by duodenal and jejunal atrophy. It is well established that DH may affect the oral mucosa as well.2- 3 According to previous reports,1,3 oral lesions are found in 1% to 10% of patients with DH, but Fraser and coworkers3 reported oral lesions in 70% of patients. In the present study, oral changes in DH were assessed.
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A buccal biopsy sample from a patient with dermatitis herpetiformis. With hematoxylin-eosin staining, lymphocytes are present in both the epithelium and lamina propria (A, original magnification ×100; B, original magnification ×40; and D, original magnification ×250). With the toluidine blue staining, mast cells are detected in the lamina propria (C, original magnification ×250).

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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