Anaemia in Dermatitis Herpetiformis: Prevalence and Associated Factors at Diagnosis and One-year Follow-up

Dermatitis herpetiformis is a cutaneous manifestation of coeliac disease. Anaemia is a common finding in patients with untreated coeliac disease, but little is known about the occurrence of anaemia in those with dermatitis herpetiformis. This study investigated the prevalence of anaemia and factors...

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Main Authors: Anna Alakoski, Camilla Pasternack, Timo Reunala, Katri Kaukinen, Heini Huhtala, Eriika Mansikka, Juha Jernman, Kaisa Hervonen, Teea Salmi
Format: Article
Language:English
Published: Medical Journals Sweden 2021-04-01
Series:Acta Dermato-Venereologica
Subjects:
Online Access: https://www.medicaljournals.se/acta/content/html/10.2340/00015555-3795
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author Anna Alakoski
Camilla Pasternack
Timo Reunala
Katri Kaukinen
Heini Huhtala
Eriika Mansikka
Juha Jernman
Kaisa Hervonen
Teea Salmi
author_facet Anna Alakoski
Camilla Pasternack
Timo Reunala
Katri Kaukinen
Heini Huhtala
Eriika Mansikka
Juha Jernman
Kaisa Hervonen
Teea Salmi
author_sort Anna Alakoski
collection DOAJ
description Dermatitis herpetiformis is a cutaneous manifestation of coeliac disease. Anaemia is a common finding in patients with untreated coeliac disease, but little is known about the occurrence of anaemia in those with dermatitis herpetiformis. This study investigated the prevalence of anaemia and factors associated with anaemia in 250 patients with dermatitis herpetiformis, at diagnosis and one year after diagnosis. As controls, 139 patients with coeliac disease were included. Patient records were reviewed to gather baseline clinical, histological, and laboratory data. Follow-up data for patients with dermatitis herpetiformis were collected from patient records and via questionnaires or at follow-up visits. The prevalence of anaemia was 12% in patients with dermatitis herpetiformis and 17% in patients with coeliac disease at diagnosis (p = 0.257). Anaemia in patients with dermatitis herpetiformis was not associated with the severity of skin symptoms or small bowel damage. The prevalence of anaemia at a 1-year follow-up had increased to 19%, but it was associated mainly with dapsone treatment.
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spelling doaj.art-40f6058dc17d4f53bf1b0d51490c7a582022-12-21T23:49:29ZengMedical Journals SwedenActa Dermato-Venereologica0001-55551651-20572021-04-011014adv0044310.2340/00015555-37956039Anaemia in Dermatitis Herpetiformis: Prevalence and Associated Factors at Diagnosis and One-year Follow-upAnna Alakoski0Camilla PasternackTimo ReunalaKatri KaukinenHeini HuhtalaEriika MansikkaJuha JernmanKaisa HervonenTeea Salmi Department of Dermatology, Tampere University Hospital, FIN-33521 Tampere, Finland. Dermatitis herpetiformis is a cutaneous manifestation of coeliac disease. Anaemia is a common finding in patients with untreated coeliac disease, but little is known about the occurrence of anaemia in those with dermatitis herpetiformis. This study investigated the prevalence of anaemia and factors associated with anaemia in 250 patients with dermatitis herpetiformis, at diagnosis and one year after diagnosis. As controls, 139 patients with coeliac disease were included. Patient records were reviewed to gather baseline clinical, histological, and laboratory data. Follow-up data for patients with dermatitis herpetiformis were collected from patient records and via questionnaires or at follow-up visits. The prevalence of anaemia was 12% in patients with dermatitis herpetiformis and 17% in patients with coeliac disease at diagnosis (p = 0.257). Anaemia in patients with dermatitis herpetiformis was not associated with the severity of skin symptoms or small bowel damage. The prevalence of anaemia at a 1-year follow-up had increased to 19%, but it was associated mainly with dapsone treatment. https://www.medicaljournals.se/acta/content/html/10.2340/00015555-3795 coeliac disease dapsone gluten-free diet villous atrophy
spellingShingle Anna Alakoski
Camilla Pasternack
Timo Reunala
Katri Kaukinen
Heini Huhtala
Eriika Mansikka
Juha Jernman
Kaisa Hervonen
Teea Salmi
Anaemia in Dermatitis Herpetiformis: Prevalence and Associated Factors at Diagnosis and One-year Follow-up
Acta Dermato-Venereologica
coeliac disease
dapsone
gluten-free diet
villous atrophy
title Anaemia in Dermatitis Herpetiformis: Prevalence and Associated Factors at Diagnosis and One-year Follow-up
title_full Anaemia in Dermatitis Herpetiformis: Prevalence and Associated Factors at Diagnosis and One-year Follow-up
title_fullStr Anaemia in Dermatitis Herpetiformis: Prevalence and Associated Factors at Diagnosis and One-year Follow-up
title_full_unstemmed Anaemia in Dermatitis Herpetiformis: Prevalence and Associated Factors at Diagnosis and One-year Follow-up
title_short Anaemia in Dermatitis Herpetiformis: Prevalence and Associated Factors at Diagnosis and One-year Follow-up
title_sort anaemia in dermatitis herpetiformis prevalence and associated factors at diagnosis and one year follow up
topic coeliac disease
dapsone
gluten-free diet
villous atrophy
url https://www.medicaljournals.se/acta/content/html/10.2340/00015555-3795
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