<prompt> All are true about Dermatitis herpetiformis EXCEPT :The lesions are intensely itchyLesions have epidermal bullaeIgA in Papillary tipsAssociated with gluten enteropathy  <response>: ANSWER: B Lesions have epidermal bullaeREF: Fitzpatrick dermatology 6th ed p. 558-73Dermatitis herpetiformis DH is an intensely pruritic, papulovesicular skin disease characterized by lesions symmetrically distributed over extensor surfaces i.e., elbows, knees, buttocks, back, scalp, and posterior neck.Almost all DH patients have an associated, usually subclinical, gluten-sensitive enteropathy, and 90 express the HLA-B8DRwT3 and HLA-DQw2 haplotypes. DH may present at any age, including childhood; onset in the second to fourth decades is most common. The disease is typically chronic.Biopsy:Small intestine shows partial villous atrophySkin lesions show sub-epidermal bullae and papillary tip abscess, IgA in papillary tips on DIFTreatment:Dapsone and gluten-free diet 