Dermatitis herpetiformisDermatitis herpetiformis(DH), also known as Duhring's disease, is a chronic skin condition characterized by an extremely itchy, blistering rash that can appear in both men and women and on both sides of the body. It generally shows up in people over the age of 20, although children and older people can be affected. It is often found in those of northern European heritage. Symptoms
The rash, which is generally the same size and shape on both sides of the body, and can come and go periodically, and can show up on forearms, knees, buttocks, back, face or scalp. Dermatitis herpetiformis is a sign of celiac disease (Addison's Disease -an and intolerance or allergy to glutens). About every 1 in 4 or 5 people with celiac disease have DH. Those who have the DH rash are generally gluten intolerant, even if the digestive symptoms of celiac disease are not apparent.
How to determine if you have DHA correct diagnosis of Dermatitis herpetiformis is obtained from blood tests and a biopsy of the skin next to blisters or the rash.A biopsy of the intestines may be recommended, although this is not necessary if the skin biopsy is positive for DH. Treatment• A strict, lifelong gluten-free diet is usually advised to manage symptoms; this includes NOT eating any foods, beverages, supplements and medications that contain wheat, barley, rye, and sometimes oats. A strict gluten-free diet will result in improvement in the skin lesions and a return to normal of the function of the intestines and digestive tract. • Dapsone, an antibiotic, may help and it's often possible to discontinue the drug as the gluten-free diet is followed. • DH can be confused with eczema, contact dermatitis, allergies, hives, herpes or psoriasis and treated with a variety of topical creams. Contact your doctor or health care provider if you have a rash that continues despite home treatment. Possible complicationsPeople with DH may have thyroid disease and, without treatment, may be at significant risk of developing certain cancers of the intestines.There is no known way to prevent getting Dermatitis herpetiformis, however those with it may be able to prevent complications by avoiding foods that contain glutens. Click here to ask a question about dermatitis herpetiformis No matter how you feel, get up - dress up - and show up. unknown
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