Pathophysiology of dermatitis herpetiformis: a model for cutaneous manifestations of gastrointestinal inflammation.

Dermatitis herpetiformis (DH) is an autoimmune blistering skin disease in which antigen presentation in the gastrointestinal mucosa results in cutaneous IgA deposition and distinct, neutrophil-driven cutaneous lesions. Our findings suggest that the qualitatively different immune response to gluten i...

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Publicado en:Dermatologic Clinics Vol. 29; no. 3; pp. 469 - 478
Autores principales: Cardones AR, Hall RP 3rd
Formato: Journal Article
Publicado: W B Saunders 2011 Jul
Acceso en línea:Ver este registro en EBSCOhost
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      pub: W B Saunders
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        atl: Pathophysiology of dermatitis herpetiformis: a model for cutaneous manifestations of gastrointestinal inflammation.
      aug:
        au:
          Cardones AR
          Hall RP 3rd
        affil: Department of Dermatology, Duke University, DUMC 3135, Durham, NC 27710, USA.
      sug:
        subj:
          Immunity Immunology
          Skin Diseases, Vesiculobullous Immunology
          Skin Diseases, Vesiculobullous Physiopathology
          Gastroenteritis Immunology
          Gastroenteritis Physiopathology
          Autoantibodies Immunology
          Skin Diseases, Vesiculobullous Pathology
          Gastroenteritis Pathology
          Skin
          Skin Pathology
          Skin Physiopathology
      ab: Dermatitis herpetiformis (DH) is an autoimmune blistering skin disease in which antigen presentation in the gastrointestinal mucosa results in cutaneous IgA deposition and distinct, neutrophil-driven cutaneous lesions. Our findings suggest that the qualitatively different immune response to gluten in the intestinal mucosa of patients with DH results in minimal clinical symptoms, allowing the continued ingestion of gluten and the eventual development of DH. Our model may provide a new way to understand the pathogenesis of other skin diseases associated with gastrointestinal inflammation such as pyoderma gangrenosum or erythema nodosum, or explain association of seronegative inflammatory arthritis with inflammatory bowel disease.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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