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John Zone, MD, a Salt Lake City dermatologist with expertise in blistering diseases of the skin, says that only about one third to one half of people with dermatitis herpetiformis have any gastrointestinal symptoms of celiac disease. However, if those who do have GI symptoms address them and get an accurate diagnosis, it’s conceivable that some are preventing the development of DH by sticking to a strict gluten-free diet. Zone explains that people who have DH have developed antibodies not just to tissue transglutaminase, or TTG, but to epidermal transglutaminase, or TTG3.

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