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Clinical Dermatology

Gluten related disorders: even a dermatological issue

Review, 43 - 47
doi: 10.11138/cderm/2017.5.1.043
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“Gluten-related disorders” (GRD) is a term that includes different diseases triggered by the ingestion of gluten-containing food. Because of their high incidence, also linked to the wide consumption of these foods in the world, the scientific community has been intensively studying them. GRD are divided on the basis of their pathogenic mechanism: autoimmune, celiac disease (CD), gluten ataxia (GA) and dermatitis herpetiformis (DE); allergic, wheat allergy (WA, IgE or non-IgE mediated) and unknown as in the case of
non-celiac gluten sensitivity (NCGS). Taken together, these disorders can affect at least 3% of the population. However, DH is not the only skin disease associated with CD. In 2012 we published a review article about skin manifestations of CD, underling that many
skin diseases, in particular psoriasis, atopic dermatitis, chronic urticaria, alopecia areata and hereditary angioneurotic edema, are actually more common in the celiacs or show atypical clinical presentation often associated with resistance to standard therapies
in those patients. These skin diseases cannot be classified as a GRD, but it is important to consider the possible presence of a GRD in all patients who do not respond to standard therapies. Recently we described cutaneous manifestations of a 17 consecutive patients affected by NCGS, suggesting the existence of a new cutaneous disease, “cutaneous gluten sensitivity”, that might be classified among GRD
in the future.

Vol. 5 (No. 1) 2017 January - March

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