Dermatitis herpetiformis

A chronic autoimmune subepidermal bullous disease characterized by grouped pruritic lesions such as papules, urticarial plaques, erythema, and herpetiform vesiculae, with a predominantly symmetrical distribution on extensor surfaces of the elbows (90%), knees (30%), shoulders, buttocks, sacral region, and face of children and adults. Erosions, excoriations and hyperpigmentation usually follow. It may also appear as a consequence of gluten intolerance.

Gluten intolerance

A detrimental reaction to the presence of gluten in food, which may include abdominal pain, fatigue, headaches and paresthesia, or celiac disease.

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PMID (PMCID)
25906282	MALE
	Human Dermatitis After Skin Exposure to Jacobaea vulgaris and Spectrum of Health Hazards Induced by This Plant to Humans and Livestock.
	Pietkiewicz P, Gornowicz-Porowska J, Bowszyc-Dmochowska M, Dmochowski M. J Agromedicine. 2015;20(2):237-41.
	In the summer of 2012, a young migrant male farm worker was seen in the University Dermatology Out-Patient Clinic in Poznan due to acute blistering Jacobaea vulgaris-induced dermatitis clinically resembling dermatitis herpetiformis (cutaneous manifestation of gluten intolerance).