Often diagnosis is profoundly delayed
INTENSE pruitus
almost everyone has mild celiac disease
Elbows, knees, lumbar spine
Tissue transglutaminase is almost always positive
autoimmune IgA mediated
neutrophils
Refractory to steroids.
Dapsone 100mg po OD, works within 24 hours. Can cause leukopenia, hypersensivity, and peripheral neuropathy (long term use).
Gluten-free diet takes 6 monhts.