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The Cause of Dermatitis Herpetiformis

C. E. M. Griffiths, MRCP; J. N. Leonard, MD, MRCP; Lionel Fry, MD, FRCP
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St Mary's Hospital Praed Street London W2 1NY, England


Arch Dermatol. 1987;123(3):293-293. doi:10.1001/archderm.1987.01660270025002
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To the Editor.—  In their article on dermatitis herpetiformis, Olbricht et al1 state that dermatitis herpetiformis is a skin disorder of unknown cause. This is not correct. The rash clears after withdrawal of gluten from the diet2 and recurs on reintroduction of gluten.3 Thus, by anybody's definition, the cause of the rash is gluten and is known.

REFERENCES

Olbricht SM, Flotte TJ, Collins AB, et al:  Dermatitis herpetiformis: Cutaneous deposition of polyclonal IgA1 . Arch Dermatol 1986;;122:418-421.
Fry L, Seah PP, Riches DJ, et al:  Clearance of skin lesions of dermatitis herpetiformis after gluten withdrawal . Lancet 1973;;1:288-291.
Leonard JN, Haffenden G, Tucker W, et al:  Gluten challenge in dermatitis herpetiformis . N Engl J Med 1983;;308:816-819.

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Olbricht SM, Flotte TJ, Collins AB, et al:  Dermatitis herpetiformis: Cutaneous deposition of polyclonal IgA1 . Arch Dermatol 1986;;122:418-421.
Fry L, Seah PP, Riches DJ, et al:  Clearance of skin lesions of dermatitis herpetiformis after gluten withdrawal . Lancet 1973;;1:288-291.
Leonard JN, Haffenden G, Tucker W, et al:  Gluten challenge in dermatitis herpetiformis . N Engl J Med 1983;;308:816-819.

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