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Dermatitis herpetiformis

Dermatitis herpetiformis (DH), or Duhring's disease, is a chronic blistering skin condition, characterised by blisters filled with a watery fluid. Despite its name, DH is neither related to nor caused by herpes virus: the name means that it is a skin inflammation having an appearance similar to herpes.

DH was first described by Louis Adolphus Duhring in 1884. A connection between DH and coeliac disease was recognised in 1967, although the exact causal mechanism is not known. DH is a specific manifestation of coeliac disease.

The age of onset is usually about 15-40, but DH can also affect children and the elderly. Men and women are equally affected. Estimates of DH prevalence vary from 1 in 400 to 1 in 10000. It is most common in patients of northern European/northern Indian ancestry, and is associated with the HLA-DQ2 haplotype along with coeliac disease and gluten sensitivity.