Last reviewed: 5 Oct 2024
Last updated: 08 Feb 2024
Summary
Definition
History and exam
Key diagnostic factors
- polymorphic rash
- pruritus
Full details
Other diagnostic factors
- burning sensations affecting the skin
- atypical cutaneous manifestations
- oral lesions
- diarrhea
- constipation
- abdominal bloating
- abdominal pain
- weight loss
- anemia
- peripheral edema
- reduced growth rate
Full details
Risk factors
- gluten ingestion
- celiac disease
- genetic predisposition
Full details
Diagnostic tests
1st tests to order
- direct immunofluorescence microscopy
- histopathologic exam
- immunoglobulin A-tissue transglutaminase (IgA-tTG)
- endomysial antibody (EMA)
Full details
Tests to consider
- human leukocyte antigen (HLA) typing
- CBC
- gastroscopy with duodenal biopsy
Full details
Treatment algorithm
ONGOING
all patients
Contributors
Authors
Emiliano Antiga, MD, PhD
Professor
University of Florence
Florence
Italy
Disclosures
EA declares that he has no competing interests. EA is an author of references cited in this topic.
Peer reviewers
Russell P. Hall III, MD
Professor
Department of Dermatology
Duke University School of Medicine
Durham
NC
USA
Disclosures
RPH declares that he has no competing interests.
Michael Farrugia, MD FRCP (Edin) PgDip
Consultant Dermatologist
NHS Lothian
Edinburgh
UK
Disclosures
MF has received funding to attend dermatology conferences from Leo, AbbVie, and Novartis.
Differentials
- Atopic dermatitis
- Contact dermatitis
- Scabies
More DifferentialsGuidelines
- Guidelines of the Italian societies of gastroenterology on the diagnosis and management of coeliac disease and dermatitis herpetiformis
- S2k guidelines (consensus statement) for diagnosis and therapy of dermatitis herpetiformis
More GuidelinesPatient information
Celiac disease
More Patient information- Log in or subscribe to access all of BMJ Best Practice
Use of this content is subject to our disclaimer