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Article
August 1969

Gluten-Free Diet and Reintroduction of Gluten in Dermatitis Herpetiformis

Author Affiliations

London

From the Department of Dermatology, The London Hospital (Dr. Fry); the Department of Anatomy, King's College (Professor McMinn); the Department of Hematology, St. Bartholomew's Hospital (Miss Cowan); and the Department of Hematology, The Royal Postgraduate Medical School (Dr. Hoffbrand), London. Dr. Fry is currently at St. Mary's Hospital, London.

Arch Dermatol. 1969;100(2):129-135. doi:10.1001/archderm.1969.01610260005001
Abstract

Seven patients with dermatitis herpetiformis were given a gluten-free diet, six for one year and one for six months. Skin lesions cleared in three patients, who no longer required dapsone, and reappeared with normal diet. In three others dapsone requirements fell with a gluten-free diet but increased again in two with normal diet.

There was improvement in the macroscopic appearance of the small intestine, height of the intestinal villi, surface epithelial cell height, fecal fat excretion, and serum and red cell folate with the gluten-free diet, and reversal on reintroduction of gluten.

These findings demonstrate that the enteropathy in dermatitis herpetiformis is due to gluten sensitivity. There was a correlation between the improvement in the small intestine and the skin disorder, suggesting a direct relationship between the two organs in this disease.

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