Evidence map›Paper›PMID 33432477›Full record

ReviewAmerican journal of clinical dermatology2021

Dermatitis Herpetiformis: An Update on Diagnosis and Management.

Timo Reunala, Kaisa Hervonen, Teea Salmi

Open access · hybridAbstract readReview
In one paragraph

Review in American journal of clinical dermatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 5 pooled it
11.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 5 syntheses or guidelines pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. European S2k guidelines on management of autoimmune blistering diseases in children and adolescents.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Guideline
  3. Guideline
  4. Pooled it
  5. Pooled it
  6. Review
  7. Article
  8. Article
  9. [Iodine provocation test].Dermatologie (Heidelberg, Germany) · 2026
    Article
  10. Review
  11. Article
  12. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Review
  13. Isolated Hand Involvement as the Presenting Sign of Dermatitis Herpetiformis.The Journal of clinical and aesthetic dermatology · 2026
    Article
  14. Review
  15. Diagnosis and management of celiac disease.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Review
  16. Article
  17. Review
  18. Wheat-Related Gastrointestinal Diseases: Narrative Review.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Timo ReunalaCeliac Disease Research Center, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland. timo.reunala@tuni.fi.ORCID http://orcid.org/0000-0002-6271-5189
Kaisa HervonenCeliac Disease Research Center, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.ORCID http://orcid.org/0000-0002-6759-8399
Teea SalmiCeliac Disease Research Center, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.ORCID http://orcid.org/0000-0001-7459-4938
Tampere University · FI

Funding

Suomalainen Tiedeakatemia 9X051Suomalainen Tiedeakatemia AA070
6 · The paper itself

Abstract

Dermatitis herpetiformis (DH), presenting with an intense itch and blistering symmetrical rash, typically on the elbows, knees, and buttocks, is a cutaneous manifestation of celiac disease. Though overt gastrointestinal symptoms are rare, three-fourths of patients with DH have villous atrophy in the small bowel, and the rest have celiac-type inflammatory changes. DH affects mostly adults and slightly more males than females. The mean age at onset is about 50 years. DH diagnosis is confirmed by showing granular immunoglobulin A deposits in the papillary dermis. The DH autoantigen, transglutaminase 3, is deposited at the same site in tightly bound immune complexes. At present, the DH-to-celiac disease prevalence is 1:8. The incidence of DH is decreasing, whereas that of celiac disease is increasing, probably because of improved diagnostics. In DH, the treatment of choice for all patients is a gluten-free diet (GFD) in which uncontaminated oats are allowed. At onset, most patients need additional dapsone to rapidly control the rash and itching. Dapsone can be stopped after a mean of 2 years, and a strict lifelong GFD alone is required. Dietary adherence offers an excellent long-term prognosis for patients with DH, with a normal quality of life and all-cause mortality.

Indexed as

Diet, Gluten-FreeAdultAge FactorsCeliac DiseaseCombined Modality TherapyDapsoneDermatitis HerpetiformisDermisFemaleHumansImmunoglobulin AIntestinal MucosaIntestine, SmallMalePatient CompliancePrevalenceDapsoneImmunoglobulin A

Identifiers

PMID33432477
PMCPMC8068693
OpenAlexW3120254889

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.