Gabrielsen T O, Hoel P S
Dermatologica. 1985;170(1):31-4. doi: 10.1159/000249492.
A 69-year-old man who 1 year previously got the diagnosis primary biliary cirrhosis presented a highly pruritic rash on the knees, elbows and in the inguinal region. Both clinically and histologically this was compatible with dermatitis herpetiformis, and dapsone treatment confirmed this. He was found to have jejunal atrophy, and after 1 year with gluten-free diet, biopsy showed almost full restoration of the villous pattern. He then only rarely had any skin problems.
一名69岁男性，1年前被诊断为原发性胆汁性肝硬化，其双膝关节、双肘关节及腹股沟区出现高度瘙痒性皮疹。临床及组织学表现均符合疱疹样皮炎，氨苯砜治疗确诊。患者被发现存在空肠萎缩，在采用无麸质饮食1年后，活检显示绒毛结构几乎完全恢复。此后他很少出现皮肤问题。
