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Unknown General 8db4f004

Which one of the following is the treatment of choice for Dermatitis Herpetiformis?

A
Corticosteroids
B
Dapsone
C
Methotrexate
D
Retinoids
High-Yield Explanation
Ans. is 'b' i.e., Dapsone Dapsone is the t/t of choice for dermatitis herpetiformisT/t of Dermatitis HerpetiformisGluten free diet slow to act on the skin lesion (several months) though the bowel changes revert to normal quickly. However a gluten free diet may be difficult to follow.Dapsone (100-200 mg daily for adults) and Sulph pyridine works dramatically.Response (within 4& - 72 hours) to Dapsone has been used as therapeutic test for diagnosis of dermatitis herpetiformis.Both these drugs can cause rashes hemolytic anemia Thrombocytopenia Methemoglobinemia Peripheral neuropathyRegular monitoring of blood count is therefore essential.

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