Dermatitis herpetiformis
Blistering vesicular itchy rash, usually symmetrical on extensor surfaces
Nearly always assx with Coeliacs
Management of dermatitis herpetiformis
Gluten-free diet
If that fails, rthen Dapsone
sulphonamide antibiotic
Symmetrical extensor blistering rash with diarrhoea
Could be dermatitis herpetiformis (with Coeliac disease)
Punch biopsy to confirm - neutrophils in the dermal papillae