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DH Photo Bank
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So far I've been controlling my rash through iodine and sals limitation.. but it would be possible that it "just happened" that the other irritants were limited at the same time (if it is eczema) which helped control the rash. I also get a coldsore-like blister in my nose that itches when I get a full rash outbreak by the way.

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I'd like to upload a photo of my current (and severe) DH outbreak on my face and neck to show what the scarring can look like, but I don't know how to upload photos. How is this done? The photo is on my iPhone and filed in my download file on my computer. Any help?

Rosetapper are you diagnosed?

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Holey moley. I never went to read about the dapsone before, I can see why most wouldn't want to take it. That is some dangerous stuff. I wouldn't take it either.

You've also explained why, though my rash is fading, it is NOT gone. I'm only 6 weeks gluten free. I guess I expected an instant response. Thanks for sharing that.

I'm thinking of testing with iodine. I was reading about the iodine patch test, I also think I'll get with my son and we'll both do some high iodine foods. We don't use iodized salt, I've avoided a lot of iodine because I was told it would aggravate my Hashimoto's by increasing thyroid antibodies. Not having had biopsies means we don't really know for sure, but maybe the iodine thing would answer questions for DS and me. Do you know much about the patch test?

I was thinking about doing the iodine patch test in the beginning but I did a lot of research on it & mostly IMHO, I think it's up for grabs or a lot of hooey. I don't know.

You COULD go low iodine. Here's a link:

http://www.thyca.org/rai.htm#diet

If things don't start clearing up in a week or less & certainly if no improvement is seen in 2 weeks then you may not have dh. Then there are a few who say iodine has no effect on their dh. It's a slippery thing dh is.

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Dani,

I sent you a private e-mail (hope that was okay!), and in it I explained that I'm officially diagnosed with celiac, and my gastroenterologist told me that if he had seen my lesions even before diagnosing me with celiac, he would have told me that I had DH and was most certainly a celiac. My son gets these same lesions in the same locations when he is glutened, and he's officially diagnosed with celiac. The fact that gluten and iodine play a role in our outbreaks lends credence to the fact that we both have DH...and I personally believe that anyone who breaks out in itchy, blistery lesions when ingesting both gluten and iodine can be pretty much assured that they have DH. Just my personal opinion, though...

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Okay...Dani helped me with a link that I can share with you.

This photo is not for the weak of heart--it might even scare small children. My photo shows many scars from a glutening on my face and neck that occurred more than four months ago, but which have continued to re-erupt due to the iodine in my thyroid medication. I think the episode is reaching the end, and most of the lesions are now simply scars. I have identical lesions/scars on the other side of my face, too. And, no, I do NOT leave the house without applying a special makeup to mask the lesions/scars. I use AirFlash by Dior, which is a spray-on makeup--I apply it with a small brush, though, to extend the product. It actually gives me an "airbrushed" look of near-perfection. Before I discovered it, I just wanted to wear a bag on my head. My DH was not diagnosed officially, but my celiac was...and my son experiences the same outbreaks in the same locations when he eats gluten. As I stated previously, my gastroenterologist told me that if he had seen the lesions before my diagnosis, he would have told me immediately that what I had was DH and that I most certainly have celiac. Dermatologists are so bad at recognizing DH and testing properly for it, I doubt that there are many DH sufferers who HAVE been officially diagnosed.

http://rainytown.se/images/external/dh_si/rosetapper_photo.JPG

As for how the blisters feel as they are emerging, mine first feel very itchy and swollen. Usually, a blister forms, and once that breaks, it becomes even more swollen and itchy. It also hurts all the way down through all the soft tissues (the way a herpes sore feels). Then let the peeling begin! My DH lesions peel every 12 hours like clockwork. They get covered by a fine, dry, dead-feeling covering that itches like crazy until it's peeled off. Only then does the skin feel smooth again, and the itching is lessened; however, the pain is still there. My mornings entail peeling off all the dry coverings so that I can apply my makeup; otherwise, the dead skin covering the lesions turns white and flaky (really disgusting). The peeling continues twice a day until it drops to about once a day after 2-3 months' time. The lesions get drier and less itchy, and eventually I end up with a dark scar--at first, it's purplish in color but fades to a dark brown color. As the eruptions become less frequent, they sometimes re-erupt under a scar, which requires that I use a sterilized needle to make a hole so that the blister can drain. Then the peeling starts all over again! It's a horrible cycle that is kept alive by the iodine in my thyroid medication. Before I had thyroid problems, I avoided iodine and was able to clear up DH outbreaks in less than a week after being glutened. Now, even the slightest gluten contamination can cause DH outbreaks that last four months or longer.

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Great idea!

Here's some of mine:

http://s1023.photobucket.com/albums/af355/pinkgiraffe5/?action=view&current=ScreenShot2012-05-31at100910PM.png (emerging)

http://s1023.photobucket.com/albums/af355/pinkgiraffe5/?action=view&current=ScreenShot2012-05-31at100910PM.png#!oZZ3QQcurrentZZhttp%3A%2F%2Fs1023.photobucket.com%2Falbums%2Faf355%2Fpinkgiraffe5%2F%3Faction%3Dview%26current%3DScreenShot2012-05-31at101025PM.png (older part of rash)

http://s1023.photobucket.com/albums/af355/pinkgiraffe5/?action=view&current=ScreenShot2012-06-17at55008PM.png (this is what it looks like when it's 'inflamed')

http://s1023.photobucket.com/albums/af355/pinkgiraffe5/?action=view&current=ScreenShot2012-06-17at55008PM.png#!oZZ2QQcurrentZZhttp%3A%2F%2Fs1023.photobucket.com%2Falbums%2Faf355%2Fpinkgiraffe5%2F%3Faction%3Dview%26current%3DScreenShot2012-06-17at54924PM.png (deflated and healing. sorry about the quality)

Brief history: I went gluten free Feb. '12 in an attempt to help relieve my GI 'issues'. Through the process I have discovered that being gluten-free has resolved *many* seemingly unrelated symptoms for me. I developed this rash after my first exposure to gluten (while gluten-free, approx. March '12). I get the rash in 3 different areas - it seems to be symmetrical. Responds well to low iodine and gluten-free.

I am not formally diagnosed as I am still searching for a competent doctor. I've got a lead on one (yay!) and plan to get the genetic testing done sometime in the near future. :)

Edited to add associated symptoms: the rash is *extremely* itchy - wakes me up! It tends to appear all at once - like a volcano eruption. Triggers that I am aware of: gluten, gluten cc, iodine, nighttime, hot water and hot weather.

the 3rd photo is pretty much what mine look like. I was calling them hives but I guess not. To me this is as good as a blood test.

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Hey everyone! This is a GREAT thread! I am not diagnosed with either celiac or DH....you can catch up on my intro here. :)

Just thought I would share a few pics here, since it COULD be DH

This is several days old, it is actually looking a little bit better today:

20120717_152801.jpg

20120717_152829.jpg

20120717_152842.jpg

20120717_152743.jpg

Here is this morning, after 1.5 weeks gluten free...although it is probably just coincidence. BUT, I haven't had a new blister in a few days now.

20120720_092343.jpg

20120720_092354.jpg

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This is a more recent picture of how the rash developed since the previous pictures. I now get reddish patches with dry flaky skin that appear before, with, and after the blisters. They don't show very well in the pic however due to being lubricated:

http://rainytown.se/images/external/20120622_135205.jpg

Any chance your symptoms fit with those of dyshidrotic eczema and not true DH?

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Any chance your symptoms fit with those of dyshidrotic eczema and not true DH?

It does look a lot like it which is confusing. The rash however also appears in my nose and scalp, and reacted when I've overdosed on sals and iodine.

I don't know if I touched any metals which might contain nickel at the same time as a overdosing took place though.

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I have lots of pics but I can't post them maybe because i am a new member?? I am diagnosed, Celiac and DH both by biopsy. If interested let me know.

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Azure - I had to open up a photobucket account and post pictures there and then post links to that site. I haven't been able to figure out how to post them directly here. I hope you can post, I'd love to see pics that have been confirmed by diagnosis.

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I thought that a thread containing a collection of the different shapes and forms of DH could be helpful to people looking for something to compare their own rashes with. So go ahead and post your rashes here to help others find a point of reference. Please add associated symptoms and a short history.

I am however doubtful of this idea being a good one because some people might add photos that are not related and confuse people who are new to all this. I hope it will be ok and if it's not then it's ok to delete this thread and I apologize in advance ;-)

Since I haven't seen a rash that is milder than mine I think that it's actually a proper coincidence that mine is the first one :-)

These images were taken when the rash was in it's mildest form. It has sadly developed since these photos were taking, and gets pink swollen bumpy areas under the blisters. It is also starting to spread to the next finger and on the webbing between my fingers.

The rash used wake me up at night with a blistery, throbbing, itching, and burning finger when I used to consume gluten. Now it mostly burns whenever it shows up with very mild itching. The water in the blisters is clear.

http://rainytown.se/...0524_065253.jpg

http://rainytown.se/...0524_065311.jpg

http://rainytown.se/...0524_065505.jpg

Important: Please note that I'm self-diagnosed, meaning this rash is based on my own speculations based on my symptoms all put together.

I do not have a photo but had the same type of rash all over my hands in 2010. Both hands were covered and OMW, it bout drove me nuts! My doctor then did not know what caused it and gave me topicals but I never did have complete relief. I had to wear gloves to wash dishes and finally just told my family, no more dishes for me.

I recently started Dapsone as I have the blisters which I scratch, they pop, bleed, scab and leave scarring and it is all over my body. I see a great improvement and I am eating gluten free and trying my best to be iodine free. Dapsone has made this condition tolerable for me, not a total itch relief. My blood test was negative for Celiac but so was my cousin's. She did test positive with a biopsy via endoscopy.

I have the rash from scalp to sole of my foot. I really don't care if I ever have a "diagnosis of Celiac". I will continue the gluten free diet for the rest of my life. I see the difference in my skin and know what it takes to heal.

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I commend you on not scratching them. At times I have to. I have some breakouts which are totally inflamed and raised as in a hive that are at least a quarter in size. They have tended to get smaller thru time but every now & then I get a really big eruption that is also more tender and much harder under the surface of my skin. They are usually much more painful. I have been gluten free for 2 yrs this Dec. Of course, one never knows when cc will happen. I will usually have a reaction if I eat out even though I am very careful. The same is true if we have a family get together & I try to be very careful. I never realized it would take this long, but the longer I am gluten free the quicker I get a reaction. Mine usually take quite a while to disappear. In the past 2 years of gluten-free there has never been a time when I have not had eruptions. My skin is always broken out.

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For most of us with DH we have not been able to find satisfactory dermatologists who understand our condition. i have been researching sites for 2 years and this is by far the best place to go to to get info & advice. From people who share the same issues & can't find answers anyplace else. People who do not have this condition do not understand it nor do they know how we feel or react. Their info is only based on info they have read about or receive from others. I have had the most helpful info here. For those not positively diagnosed but know what the problem is we would NOT want to go thru the suffering that eating gluten would do to get a diagnosis.

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I am not officially diagnosed with DH but after 2 years of research I know that is what i have. There are only 2 places on my body that have never had breakouts. They are the palms of my hands and the soles of my feet.

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When you are able to post those pics it would be very useful to the rest of us. I am also a new member & have found this to be the best source of info. I have been gluten free for 2 years and in that time I have never had skin that wasn't broken out with lesions in varying stages.. They are not as bad as they used to be however.

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This is exactly how DH presents on the fingers of my left hand! It hasn't occurred in a number of years, but, boy, that is just how it looked!

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My scalp is covered especially back of head. I have some lesions on both knees, not as much as in these photos. The sole of my right foot is covered with lesions. The ones on my foot have healed and the skin has peeled off.

Trying to load the photos. . . we'll see if I can get this accomplished. :huh:

http://i1323.photobu...6/closerash.jpg

http://i1323.photobucket.com/albums/u584/lindareading56/siderashclose.jpg

http://i1323.photobucket.com/albums/u584/lindareading56/closerash1.jpg

http://i1323.photobucket.com/albums/u584/lindareading56/lynupperbackrash.jpg

I have been on Dapsone since October 20th and eating gluten free and iodine free (started on the same day) I have lost 25 lbs and my sugar level is much better.

I still have the itching, burning and stinging but is probably at least 75% better now.

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Oh you poor, poor thing!!!!! You've got it BAD don't you? Well, I don't know really anything about the dosing of Dapsone but I would say maybe you need to talk to your doc about upping the dosage. Now, upping the dosage will not make the places heal any faster. This stuff takes it's own sweet time healing & it is vexing in the extreme. So Dapsone will not help with that. But the Dapsone is supposed to stop any new outbreaks as well as stop the itch, sting, burn. After a whole month on Dapsone; still having the itch etc.... I would say it's time to talk to the doc.

And I've said this before but it bears repeating ---- when you're on Dapsone it masks dh reactions so you have no gauge as to getting glutened or cross contaminated so you need to be ​ extremely careful that you are not getting the slightest trace of gluten. Just a reminder. :)

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Oh you poor, poor thing!!!!! You've got it BAD don't you? Well, I don't know really anything about the dosing of Dapsone but I would say maybe you need to talk to your doc about upping the dosage. Now, upping the dosage will not make the places heal any faster. This stuff takes it's own sweet time healing & it is vexing in the extreme. So Dapsone will not help with that. But the Dapsone is supposed to stop any new outbreaks as well as stop the itch, sting, burn. After a whole month on Dapsone; still having the itch etc.... I would say it's time to talk to the doc.

And I've said this before but it bears repeating ---- when you're on Dapsone it masks dh reactions so you have no gauge as to getting glutened or cross contaminated so you need to be ​ extremely careful that you are not getting the slightest trace of gluten. Just a reminder. :)

Yes, I have it bad. I see a new dermatologist from University S Florida on Dec 6th. I see my PCP this coming Tues. I really am healing. :) The ones from my wrist to elbow have healed and just have dark spots, no itch. From my elbow to shoulder is trying to heal but I keep taking off the scabs. Not really itching there but feel the dryness. The lesions on both knees have healed just leaving discoloration. The sole of my right foot has healed completely. I guess just the stomach, back, buttocks, chest and scalp still have sensations. Like sitting here, I am aware that my skin feels tight and I could scratch my belly BUT I can control the urge. Dapsone has not taken that away completely with 2 a day = 50. It is so hard not to pick at my scalp :( the skin is really rough with scabs. I see such great improvement. Thankful for that!

My family keeps reminding me how much better I am. They have been so patient with me during the past 10 months, helping me apply the ointments to my back.

I've decided to eat at home unless there is a special occasion so I can know for sure, what I am eating. Thank you so much for your advice and response. :)

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FWIW I have only eaten out once since going gluten-free & that was before my hubs found out he had it TOO. We went to Chinese & I brought my own food, a sandwich, I ordered wine & an iced tea to drink with my sandwich. They had no problem with it & I told them in advance what I was going to do. To me, it's just not worth taking the risk. It is so easy to get cross contamination in a restaurant situation.

It is wonderful that you have such a supportive family!!!!

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This rash only went away when I put my son on a gluten free diet.....could it be DH? He is 10 years old. His twin brother had no rashes until we reintroduced gluten in July....his rash started also behind his ear and went away when we went back on the gluten-free diet. After a vacation in Oct.2012 we again ate gluten and there were no signs of the rashes....so we continued to eat gluten until the week after Thanksgiving because the rashes were slowly reappearing and also #2 twin was starting to blink his eyes constantley....these are hard blinks and he does this all day. It also occurred last year before starting gluten free and I had not thought about or noticed it again untill a few weeks ago during out gluten feast... Now all three of my kids have small red bumps on their hands and arms....there are only 3 or so in each area on each child?? I'm so confused.....

I posted a full story on another topic....

http://s1322.beta.photobucket.com/user/ampmomof3/library/#/user/ampmomof3/library/?&_suid=135489927789603616105665253381

Thanks and any opinions are welcome!

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This rash only went away when I put my son on a gluten free diet.....could it be DH? He is 10 years old. His twin brother had no rashes until we reintroduced gluten in July....his rash started also behind his ear and went away when we went back on the gluten-free diet. After a vacation in Oct.2012 we again ate gluten and there were no signs of the rashes....so we continued to eat gluten until the week after Thanksgiving because the rashes were slowly reappearing and also #2 twin was starting to blink his eyes constantley....these are hard blinks and he does this all day. It also occurred last year before starting gluten free and I had not thought about or noticed it again untill a few weeks ago during out gluten feast... Now all three of my kids have small red bumps on their hands and arms....there are only 3 or so in each area on each child?? I'm so confused.....

I posted a full story on another topic....

http://s1322.beta.ph...616105665253381

Thanks and any opinions are welcome!

This is the thread ampmomof3 spoke about. I will reply there since the bulk of the information is there.

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Initial skin biopsy (punch): eczema negative, puritic vesicle observed

Immunoflorescence IgA skin biopsy (punch): Weak Postive

Blood Serum Celiac Comprehensive Panel (Quest Diagnositics - Ttg, EMA & EMA Titers): Positive

Small Intestine biopsy (EGD): negative

(pictures from Oct 2012 - prior to biopsies, tests & Dapsone use)

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2n8c3v7.jpg

2vbs9w6.jpg

2ith9uh.jpg

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34dhsvq.jpg

waprmo.jpg

33lla90.jpg

2agm6vr.jpg

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    • Thanks for posting this Adrien, it's a great list and I and others will appreciate the effort and the thought behind it. I loved my time in Malaysia and I'm glad I sampled all the food I could whilst I was still on an unrestricted diet. The good thing is that, like you say, some of the nice Malay foods are still ok. As a backpacker I survived on a lot of nasi goreng and laksa, nice to think if I return there I could still do the same Terima kasih!
    • I have posted on here before. DQ2, brother with celiac, DGP iGA was the only mildly elevated test. Was gluten-free so did 6 week challenge last winter. Negative biopsy. I am gluten-free now but do go out to eat. Prior to the challenge my health was good. Since then I have: Chest pain, pain between shoulder blades, periods of shortness of breath, heart palpitations, one instance of a heart arrythmia episode, neck is tender to touch on one side (they kept saying sinuses or TMJ which my dentist vetoed) ear ache, bowels never sink. Numbness and tingling. Blood pressure variations. Could be doing chores and feel dizzy and it might be 84/52.  not super low, but not typical for me if I'm running around the house.While other days I am mildly hypertensive. Recently lost 5 lbs in 8 days without trying. Recently electrolytes were low, alkaline phosphatese was low. Ferritin started dropping so started liquid iron 2-3 times per day 4 months ago. Primary watching that, I am not anemic but we are nowhere near iron overload either.  GI doc was a dick. Did not even know DGP replaced older tests and he was very condescending When I begged him for help recently and told me to get a second opinion which is exactly what I plan on doing.  I now have pain in my upper GI area. It is tender to touch. I had my gallbladder out in 97 along with a stone and infection in my bile duct. It hurts in this area. Pancreatic enzymes look fine, liver enzymes fine. Pancreatic ultrasound fine. I will now be doing a EUS Soon to look at bile duct, pancreas and liver.   so a typical day for me is that I might feel fine for a while and then suddenly feel like I'm going to pass out. really dizzy, numbness in odd places, like my body has been hijacked. I will typically eat a bunch of food something high protein and in about an hour or so I start to feel better. However, then my upper stomach starts to hurt in place of the passing out feeling. blood sugars are also normal. After getting the " it must be panic attacks" and condescending looks a million times my primary finally ordered an ultrasound of my sore neck and there is an abnormality in my thyroid which she says looks like possibly Hashti's. Except for one time, all my serum TSH tests were normal. We have more blood work on Monday. As I have not put on any weight and there are other symptoms that are closer to Graves.  Has anyone else had any thyroid issues that followed doing a gluten challenge?  where is your stomach pain? Do you have it above or below your belly button? Mine feels like it's in the pancreas area, like 2-3 inches above the belly button and when I push on it it's tender, but not all the time. sometimes i feel it in my back. 
    • Thanks for sharing with me.  I really appreciate it.  Honestly, after a glutening last summer (still do not know what glutened me), I did not eat out for a year!  The risk was too great as my healing time took 3 months (for symptoms to subside) and six months to regain lost weight.  Our recent vacation to Europe was worth the risk  as we traveled with our entire extended family, but we were extra cautious and ate only at celiac-approved places.  Otherwise, we "dined" at markets or ate the food we brought from home.  Thankfully, we did not get glutened (at least we don't think so!)  
    • I do not struggle with this and I was brought up the same way as you. I don't struggle because for many years off & on we didn't have a bathtub, only showers as well as this being therapy or medicinal for the skin - heck even for the muscles as I age. I figure I've earned my right to luxuriate or medicate with baths any time I've a mind to. My husband saw just how bad my dh got & NEVER begrudges me a nice long soak in the big soaking tub we now have.
    • Hi, No, I do not have celiac  disease. I have an ankylosing spondylitis which is an auto-immune disease provoking an inflammation of the joints. Under the advice and supervision of my doctor and the professor at the hospital I follow a gluten free & casein free diet, which is extremely successful in preventing inflammatory events. And I've been doing so, strictly, for more than 6 years. So I'm not Celiac, but I can tell you that I react strongly every time I take gluten even in small amounts. Even soya sauce, which according to this website has an almost zero dose of gluten, is a lot too much for me. Nevertheless I allow myself to eat food which has been processed in a factory which processes gluten. To conclude, I would say that when you are travelling, especially in a country where celiac disease is scarcely known, you should be twice as careful as when you're going out at home. In the end you can never guarantee that the cook has cleaned his pan after using soya sauce and so on... You can only bet
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