Pathology
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Atlas of dermatopathology
Josef Feit, Hana Jedličková, Günter Burg, Luděk Matyska, Spasoje Radovanovic et al.
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+ Introduction
+ Literature
+ Support
+ Skin biopsy
+ Non-tumorous skin diseases
+ Skin tumors
+ Cysts of the skin and subcutis
+ Soft tissue lesions
+ Some lesions of the oral cavity
+ Dermatovenerology
+ Collection of histological slides by prof. Günter Burg
+ Collection of histological slides by prof. Werner Kempf
+ Collection of histological slides of dr. Ram Chandra Adhikari
Dermatitis herpetiformis Duhring
Etiology, pathogenesis
  • autoimmune disease associated with sensitivity to gluten (often associated with celiac sprue — see Malabsorption syndrome)
  • not associated with Herpesvirus infection
Clinical signs
  • predilection are the elbows, knees, sacral region, scalp or generalized lesions
  • small papules and vesicles, excoriations
  • heavy pruritus
  • rarely blisters and inflammatory halo
  • treatment: gluten free diet, sulfapyridin, Dapsone
Pictures
Histology

Neutrophils below basement membrane, papillary edema; subepidermal clefts or vesicles containing neutrophils; immunofluorescence: granular deposits of IgA at tips of dermal papillae along basement membrane.

Pictures

Dermatitis herpetiformis: Dermatitis herpetiformis Duhring, HE 20x (111) Dermatitis herpetiformis Duhring, HE 20x (112) Dermatitis herpetiformis Duhring, HE 20x (113) Dermatitis herpetiformis Duhring, HE 40x (114) Dermatitis herpetiformis Duhring, HE 40x (115)

Another case: Dermatitis herpetiformis Duhring, HE 20x (2386) Dermatitis herpetiformis Duhring, HE 40x (2387)

Another case: Dermatitis herpetiformis Duhring, HE 20x (544) Dermatitis herpetiformis Duhring, HE 40x (545) Dermatitis herpetiformis Duhring, HE 20x (546) Dermatitis herpetiformis Duhring, HE 40x (547)

Another case: Dermatitis herpetiformis Duhring, HE 100x (2660) Dermatitis herpetiformis Duhring, HE 40x (2661)

Another case: Dermatitis herpetiformis Duhring, HE 40x (2662)

Another case: Dermatitis herpetiformis Duhring, HE 10x (1254) Dermatitis herpetiformis Duhring, HE 10x (1260) Dermatitis herpetiformis Duhring, HE 20x (1255) Dermatitis herpetiformis Duhring, HE 40x (1256)

Dermatitis herpetiformis: Dermatitis herpetiformis Duhring, HE 40x (4020)

Another case, fluorescence: Dermatitis herpetiformis Duhring, antiiga, FITC, Evans 40x (536) Dermatitis herpetiformis Duhring, antiiga, FITC, Evans 40x (537)

Another case, fluorescence: Dermatitis herpetiformis Duhring, anti-IgA, FITC 20x (3657) Dermatitis herpetiformis Duhring, anti-IgA, FITC 40x (3658)

Dermatitis herpetiformis with large bullae: Dermatitis herpetiformis Duhring, HE 40x (4055)

Dermatitis herpetiformis with large bullae: Dermatitis herpetiformis Duhring, HE 60x (12989)

Dermatitis herpetiformis, vesicular: Dermatitis herpetiformis Duhring, HE 20x (4472)

Another case of m. Duhring, large vesicles: Dermatitis herpetiformis Duhring, HE 20x (5311)

Bullous dermatitis herpetiformis: Dermatitis herpetiformis Duhring, HE 60x (13876)

Dermatitis herpetiformis Duhring: Dermatitis herpetiformis Duhring, HE 60x (12035) Dermatitis herpetiformis Duhring, HE 20x (4232)

Dermatitis herpetiformis, patient with celiac disease (skin, duodenum): Dermatitis herpetiformis Duhring, patient with celiac disease, frozen HE 60x (12810) Dermatitis herpetiformis Duhring, patient with celiac disease, HE 60x (12811) Celiac disease, duodenum (patient with DHD also), HE 60x (12806) Celiac disease, duodenum (patient with DHD also), HE 60x (12807)

Dermatitis herpetiformis, frozen section and immunofluorescence (IgA): Dermatitis herpetiformis Duhring, HE 60x (6423) Dermatitis herpetiformis Duhring, anti-IgA, FITC 10x (6430) Dermatitis herpetiformis Duhring, anti-IgA, FITC 20x (6431) Dermatitis herpetiformis Duhring, anti-IgA, FITC 20x (6432) Dermatitis herpetiformis Duhring, anti-IgA, FITC 20x (6433)