- Pruritus - first & predominant symptom.
- Symmetrical eruption of grouped erythematous papules and papulovesicles rapidly excoriated - intact vesicles are difficult to demonstrate.
- Extensor aspects of limbs (elbows and knees), buttocks, natal cleft, shoulders, upper back, face and scalp.
- Oral lesions are common but asymptomatic.
- Provocation of lesions occurs with iodides.
Secondary infection and ulceration
- Antigen: Gut epithelial antigen cross reacts with skin
- Antibodies: IgA directed against gliadin and autoantigens like reticulin and endomysium C3, IgG, IgM may be seen
Stick to a gluten free diet
- Onset usually between 20-55 Years.
- Mainly males.
- External factors: Gluten containing diet like wheat, barley, oats and rye.
