To the Editor.—
The relationship between the jejunal changes in patients suffering from dermatitis herpetiformis (DH) and the enteropathy of celiac disease (CD) remains uncertain. Fry et al1 believe that in at least some patients with DH, a gluten-free diet modifies the course of the cutaneous disease. Others2 believe that the skin disease and the enteropathy behave independently, each responding to its appropriate treatment. There has been, to my knowledge, one report of a patient who developed DH after six years of gluten restriction for CD.3 I have recently encountered a similar case, which I believe should be recorded.
Report of a Case
A 48-year-old man was seen in May 1973, because of an intensely itching eruption that had been present for three months. Eight years previously, he had been investigated for diarrhea, with bulky, greasy stools. After jejunal biopsy, he was told he had CD and
de Launey WE. Dermatitis Herpetiformis and the Enteropathy of Celiac Disease. Arch Dermatol. 1974;110(2):301. doi:10.1001/archderm.1974.01630080089044