Jump to content
This site uses cookies. Continued use is acceptance of our Terms of Use and Privacy Policy. More Info... ×
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Celiac.com!
    eNewsletter
    Donate

Dermatitis Herpetiformis ( And Other Rashes)


Chefwife8

Recommended Posts

Chefwife8 Newbie

I have had a horrible rash around my eyes for almost 2 years down my arms all over my neck. I have been to 5 different dr's in the last month or two I developed a new rash horribly itchy and painful. Went to a new Dermatologist yesterday as soon as he saw the new rash he was pretty sure it's dermatitis herpetiformis did a biopsy and I guess in about 10 days will find out for sure. I have suffered from migraines/headaches most my life and recently have had some pretty uncomfortable heart palpatations.

If the biopsy is positive does that mean I have Celiacs? He did tell me to take gluten out of my diet. I am 39 years old is it common to be diagnosed this late in life?

Link to comment
Share on other sites

Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



ciamarie Rookie

Hi, welcome to the forum. Yes, if you have DH then you have celiac disease. I think it's wonderful that you found a dermatologist that suspected DH and did a biopsy -- apparently that's a rarity. I hope he did the biopsy from skin right next to the blister and not directly on it?

As to your question about being dx later in life, it's not uncommon; especially if you didn't or don't have the 'classic' symptoms. Even those with the classic symptoms sometimes have a hard time being diagnosed. Those of us with DH usually have fewer of the GI symptoms, though looking back I did have my moments, they were uncommon. Keep us posted on the results of the biopsy. Also be sure to look for the thread about itch relief for some helpful suggestions.

Link to comment
Share on other sites
jlaw Apprentice

Hi and welcome again. Sorry that you're in the 'waiting' phase - I never cope well with that! And yes, having a dermatologist who would suggest this is a good start - even if it's not DH, at least he's not stuck in the habit of fobbing patients off with the scabies or eczema thing and can think outside the box.

I am recently diagnosed at 31. All the literature says it's actually most common to be diagnosed in your 30s and 40s. I hope that it turns out to be something a litte less permanent for you. But if not, there's lots of helpful people around here. Be in touch with your questions and let us know the results when you get them.

Link to comment
Share on other sites
Chefwife8 Newbie

What other symptoms if any did you have besides the dh rash? I have had horrible joint pain that comes and goes since my early 30 dr's thought I had RA or psoriatic arthritis this drem does not think my other rash is psoriasis. While doing some reading about Celiacs joint pain is a symptom I have also started having awful heart palpatations.

The waiting is awful, but the thought that I may finally have some answers is such a relief.

Link to comment
Share on other sites
squirmingitch Veteran

Please be sure to read up & make sure the derm did the biopsy correctly BEFORE you go gluten free. The biopsy will become neg. pretty quickly after having gone gluten free so you don't want to have to go back on gluten to re-do a biopsy.

Yes, a dx of dh is a dx of celiac.

I had heart palpitations, horrid, at times completely debilitating joint & bone pain, neuro symptoms, anger (rage), depression, "out there" feelings --- sort of dizzy but not quite classically dizzy, gas, bloat - bad bloat, BELCHING like a sailor, indigestion, anxiety, memory problems such as not being able to remember the name for a fork, unable to concentrate, when typing I would get "dyslexic" & type words with the letters transposed - IE: typing - tpying, major fatigue, "Needles" in my hands & feet. These did not all come on hard & heavy at one time; it was a progression & docs always chalked it up to menopause. I'm 55 now but these symptoms MOL began coming on about 10 years ago. In hindsight, I now see where I had symptoms as a child/teen but they went into remission until my 40's.

Limiting iodine temporarily can help --- many of us with dh have to limit our iodine intake for a while. For a low iodine guideline see:

Open Original Shared Link

Welcome to the club & the board.

Link to comment
Share on other sites
  • 2 months later...
Chefwife8 Newbie

Well my biopsy was neg after learning how it should be done I realize that it was done wrong. Now I am not sure what to do this rash is unbearable it comes and goes and has left scars is this typical for dh? Would really love a diagnoses but if I don't get one soon I think I may go crazy! I am planning on going on the gaps diet to see if it helps

What other test should I ask my dr for

Link to comment
Share on other sites
mushroom Proficient

Well my biopsy was neg after learning how it should be done I realize that it was done wrong. Now I am not sure what to do this rash is unbearable it comes and goes and has left scars is this typical for dh? Would really love a diagnoses but if I don't get one soon I think I may go crazy! I am planning on going on the gaps diet to see if it helps

What other test should I ask my dr for

 

 

Slaps palm to forehead!!  Can't believe yet another derm. screwed up a DH biopsy!!!  Two minutes with Dr. Google would tell them how to do it.....  I am so sorry.

 

And let me guess, you took his advice and stopped eating gluten, so now testing is not available to you without going back on gluten for six weeks.  And I am afraid that is the very sad truth of it.  For any of these tests you do have to be eating gluten for the results to be valid and accurate.  Skin biopsy, celiac blood panel, endoscopy with biopsy.  These are the three ways of medically/scientifically diagnosing celiac.  The only other way is adherence to the gluten free diet (complete adherence) and a resolution of symptoms while gluten free.

 

Yes, the DH can come and go and it does leave scars, often angry purple ones to start with but then they fade to white.  And the DH can linger long after you stop eating gluten, unfortunately.  It is the slowest of the gluten symptoms to resolve, it seems (apart from some of the neurological signs).  It can also be made worse by iodine and you may be one of the iodine sensitive folks.  Trying to keep iodine out of your diet as much as possible can help to clear up your symptoms.  Have you been on the DH thread here on the forum?  There is a lot of useful information there.

 

I hope you are able to get things under control soon and start feeling better.  Best wishes! :)

Link to comment
Share on other sites

Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



Chefwife8 Newbie

Thankfully I am still eating gluten I knew that If more tests were run I would have to keep eating it. Just not sure what tests to ask for

to be run so tired of the dr's just looking at me and saying sorry have no clue what is wrong, but here are some steroids to help for a minute. I have been on and off steroids for almost 2 years it is the only thing that helps. I have the typical rash that looks like dh and then I also have a rash around my eyes that itches really had and hurts my eyes crack and bleed and the skin flakes and peals it is awful it is also around my mouth some mornings i wake and my lips are swollen. I have been to an allergist and the IGA blood test was high I also am allergic to black pepper, oregano, cinammon, almonds, apples, bananas, oysters, plums. I have taken these out of my diet and I still have no change in my rashes.

The tests the dr ordered are

CBC

Celiac disease panel

If I am on oral steriods will it effect the test?

Link to comment
Share on other sites
kareng Grand Master

Open Original Shared Link

"Would taking steroids cause the blood tests to be inaccurate?

Yes, but only if you have been taking steroids for a prolonged period of time."

Link to comment
Share on other sites
pricklypear1971 Community Regular

On and off steroids for 2 years definitely can contribute to a false negative result.

Every doctor I've seen, when I've described my steroid rx's around the time I could have been tested have shook their heads...

So, if your blood work comes up positive that's fabulous. If its negative do not discount it may be Celiac.

Link to comment
Share on other sites
Chefwife8 Newbie

The lady at the lab said steriods have no effect in the celiac panel not so sure I believe that, but we will see. My mother has crohns and all my brothers and sister have some sort of stomache problem. The more I think about the symptoms I would not be surprised if my mother had Celiacs

Link to comment
Share on other sites
pricklypear1971 Community Regular

The lady at the lab said steriods have no effect in the celiac panel not so sure I believe that, but we will see. My mother has crohns and all my brothers and sister have some sort of stomache problem. The more I think about the symptoms I would not be surprised if my mother had Celiacs

The lady at the lab is misinformed. It is commonly mentioned in studies and medical literature that steroids can influence celiac testing.

Link to comment
Share on other sites
Chefwife8 Newbie

The lady at the lab is misinformed. It is commonly mentioned in studies and medical literature that steroids can influence celiac testing.

That's what I thought I hate that there is such conflicting info out there. Hoping the steroids don't effect the test. Having some sort if answer would be great

Link to comment
Share on other sites
squirmingitch Veteran

Well, if you get a neg. result them you can't be sure it's truly neg. Also, I will mention that topical steroids will make the dh biopsy false neg.

 

You said the doc ordered a celiac disease panel. Maybe & maybe not. Here is the current, FULL blood panel:

 

 

Anti-Gliadin (AGA) IgA
Anti-Gliadin (AGA) IgG
Anti-Endomysial (EMA) IgA
Anti-Tissue Transglutaminase (tTG) IgA
Deamidated Gliadin Peptide (DGP) IgA and IgG
Total Serum IgA 
 
The DGP test was added recently to the full panel.
 
 
Also can be termed this way:
 
Endomysial Antibody IgA
Tissue Transglutaminase IgA 
GLIADIN IgG
GLIADIN IgA
Total Serum IgA 
Deamidated Gliadin Peptide (DGP) IgA and IgG
 
Anything less & you aren't getting the true celiac panel. Sorry, but it happens all too often. I saw a GI & he only ordered 3 of the 6. Not worth bothering with. ALSO, only 40% of cleiacs with dh test positive on the celiac panel so there is that to consider too.
 
It's unfortunate that the majority of docs out there both derms & GI's do not truly know what they're doing.
Furthermore, a lot of derms are unwilling to dx celiac based on a positive skin biopsy. Several reasons --- they feel they are overstepping their bounds b/c celiac is a GI disease & they don't quite "get it" that dh IS celiac. They do not realize that having dh most often means you have neg. blood & endoscopy so sending you to the GI for a dx probably won't work.
Link to comment
Share on other sites
Chefwife8 Newbie

Well the test the dr ordered are neg. I am going ask for them to be redone since I was on prednisone during the test. I am so frustrated so tired of not feeling good and constantly itching

Link to comment
Share on other sites
  • 2 weeks later...
sisterlynr Explorer

Chefwife8

 

In all reality . . . I'm not sure it matters to have a definite diagnosis of DH.  It is just marked on your medical charts and who is that helping?   I guess it does matter to be sure it isn't another skin disease.

 

I think the doctor and/or test being positive about DH is for peace of mind.  It sure doesn't help the itch, sting or burn.  I have been to 5 dermatologist with 6 biopsies before the head of the university of dermatology took 2 biopsies correctly.  Has to be next to a lesion with direct immunofluorescence to see IgA . I had been gluten-free and on Dapsone for 5 months but he still took the biopsies.  He didn't think they would show DH but still took them.  Now my record with my PCP and this Dermatologist has charted Celiac DH.  

 

I still have the rash, burning, stinging and itch.  The healed lesions do turn a purple color and fade to white.  They also leave white circles like the pigmentation is gone.  I told this last Dermatologist, "It doesn't matter if the biopsy is positive, I know how the gluten-free diet and Dapsone has helped.  I came to you because my PCP wanted to be sure it wasn't T-cell Lymphoma as I am a NH Lymphoma (remission) patient."  BTW, only 1% of people with Celiac/DH develop NH Lymphoma, a serious complication of gluten enteropathy.  I've been sick a long time when a simple change of diet would have healed me.

 

You could ask for the biopsy to be done correctly but I'm pretty sure the steroids can affect the results.  I know I was told by one of the Derms that the topical steroids affected results.  If they can't get it right, go gluten free.  If you see positive results. . . that is all that matters, at least to me.  Good luck!

Link to comment
Share on other sites
squirmingitch Veteran

And remember that dh can & all too often does still present for 2 yrs. or more after going gluten-free. When I first went gluten-free, my dh laid down almost completely & at times was gone for short periods but it can & does come back. So going gluten-free is no instant magic bullet.

Link to comment
Share on other sites

Archived

This topic is now archived and is closed to further replies.

  • Get Celiac.com Updates:
    Support Celiac.com:
    Donate

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - Scott Adams replied to Nacina's topic in Related Issues & Disorders
      1

      14 year old with Celiac & EOE still suffering...

    2. - Nacina posted a topic in Related Issues & Disorders
      1

      14 year old with Celiac & EOE still suffering...

    3. - trents replied to Fluka66's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      5

      Waiting for urgent referral.

    4. - Fluka66 replied to Fluka66's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      5

      Waiting for urgent referral.

    5. - Moodiefoodie replied to Moodiefoodie's topic in Related Issues & Disorders
      9

      Joint swelling when ill even on gluten-free diet


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      121,064
    • Most Online (within 30 mins)
      7,748

    Nacina
    Newest Member
    Nacina
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      120.3k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • Scott Adams
      It sounds like you've been through a lot with your son's health journey, and it's understandable that you're seeking answers and solutions. Given the complexity of his symptoms and medical history, it might be beneficial to explore a few avenues: Encourage your son to keep a detailed journal of his symptoms, including when they occur, their severity, any triggers or patterns, and how they impact his daily life. This information can be valuable during medical consultations and may help identify correlations or trends. Consider seeking opinions from specialized medical centers or academic hospitals that have multidisciplinary teams specializing in gastrointestinal disorders, especially those related to Celiac disease and Eosinophilic Esophagitis (EOE). These centers often have experts who deal with complex cases and can offer a comprehensive evaluation. Since you've already explored alternative medicine with a nutrition response doctor and a gut detox diet, you may want to consider consulting a functional medicine practitioner. They take a holistic approach to health, looking at underlying causes and imbalances that may contribute to symptoms. Given his low vitamin D levels and other nutritional markers, a thorough nutritional assessment by a registered dietitian or nutritionist specializing in gastrointestinal health could provide insights into any deficiencies or dietary adjustments that might help alleviate symptoms. In addition to routine tests, consider asking about more specialized tests that may not be part of standard screenings. These could include comprehensive stool analyses, food intolerance testing, allergy panels, or advanced imaging studies to assess gut health.
    • Nacina
      Hello, I am a 45 year old mom, who was diagnosed at 29 with Celiac. My now 14 year old son was diagnosed just before his 4th birthday. Needless to say, we are old pros with the diet. He was experiencing some issues, overall health took a major plummet a year ago, and through a bit of work, was diagnosed with EOE. Tried diet alone, but his follow up endoscopy didn't show the improvements his DR. wanted to see, so I tried the medication. (Steroid). He became extremely backed up, and they had him taking Miralax daily. His health plummeted. He is a straight A honor's 8th grader who plays club soccer very competitively. His health continued to decline and at 13 had a colonoscopy and another upper gi. (He was still compacted even with the prep). I finally pulled him off all meds and mira lax, after reading much negative literature online, and put him on a gut detox diet and took him to a nutrition response dr. Finally things have improved. However...over a year later and he is having relapse stomach pain, debilitating stomach pain. Missing a day of school a week, to three this week. This is where we downward spiral with him. He says it doesn't feel the same as when he has gotten backed up before. He is eating prunes, taking his supplements, drinking water...all of the things. Yet, he is feeling horrible. Pain is abdomen, headache, lethargy, diarrhea . He is on a strict gluten dairy, egg free diet. He has adapted well in regards to diet. But I feel like we are missing something here. He is too active, too outgoing to be feeling sick all of the time. His Bilirubin is constantly high. His white blood count always runs slightly low. His vitamin D was very low last time he ran tests, (last month) when he was sick for a week. His celiac markers show negative, so it isn't that. His last endoscopy showed no Eosinaphils in his esophagus.  I have taken him to multiple Ped. Gastro specialists. They run tests, and we get zero answers. I meticulously go through labs, hoping to make some sense and maybe catch something. Any thoughts or ideas would greatly be appreciated. 
    • trents
      But if you have been off of wheat for a period of weeks/months leading up to the testing it will likely turn out to be negative for celiac disease, even if you actually have celiac disease. Given your symptoms when consuming gluten, we certainly understand your reluctance to undergo  the "gluten challenge" before testing but you need to understand that the testing may be a waste of time if you don't. What are you going to do if it is negative for celiac disease? Are you going to go back to merrily eating wheat/barley/rye products while living in pain and destroying your health? You will be in a conundrum. Do I or do I not? And you will likely have a difficult time being consistent with your diet. Celiac disease causes inflammation to the small bowel villous lining when gluten containing grains are consumed. This inflammation produces certain antibodies that can be detected in the blood after they reach a certain level, which takes weeks or months after the onset of the disease. If gluten is stopped or drastically reduced, the inflammation begins to decrease and so do the antibodies. Before long, their low levels are not detectable by testing and the antibody blood tests done for diagnosing celiac disease will be negative. Over time, this inflammation wears down the billions of microscopic, finger-like projections that make up the lining and form the nutrient absorbing layer of the small bowel where all the nutrition in our food is absorbed. As the villi bet worn down, vitamin and mineral deficiencies typically develop because absorption is compromised. An endoscopy with biopsy of the small bowel lining to microscopically examine this damage is usually the second stage of celiac disease diagnosis. However, when people cut out gluten or cut back on it significantly ahead of time before the biopsy is done, the villous lining has already experienced some healing and the microscopic examination may be negative or inconclusive. I'm not trying to tell you what to do I just want you to understand what the consequences of going gluten free ahead of testing are as far as test results go so that you will either not waste your time in having the tests done or will be prepared for negative test results and the impact that will have on your dietary decisions. And, who are these "consultants" you keep talking about and what are their qualifications? You are in the unenviable position that many who joint this forum have found themselves in. Namely, having begun a gluten free diet before getting a proper diagnosis but unwilling to enter into the gluten challenge for valid testing because of the severity of the symptoms it would cause them.
    • Fluka66
      Thank you very much for your reply. I hadn't heard of celiac disease but began to notice a pattern of pain. I've been on the floor more than once with agonising pain but this was always put down to another abdominal problem consequently I've been on a roundabout of backwards and forwards with another consultant for many years. I originally questioned this diagnosis but was assured it was the reason for my pain. Many years later the consultant gave up and I had a new GP. I started to cut out certain food types ,reading packets then really started to cut out wheat and went lactose free. After a month I reintroduced these in one meal and ended screaming in agony the tearing and bloating pain. With this info and a swollen lymph node in my neck I went back to the GP.  I have a referral now . I have also found out that acidic food is causing the terrible pain . My thoughts are this is irritating any ulcers. I'm hoping that after a decade the outlook isn't all bad. My blood test came back with a high marker but I didn't catch what it was. My GP and I have agreed that I won't go back on wheat just for the test due to the pain , my swollen lymph node and blood test results.  Trying to remain calm for the referral and perhaps needed to be more forceful all those years ago but I'm not assertive and consultants can be overwhelming. Many thanks for your reply . Wishing you all the best.
    • Moodiefoodie
      Wow! Fascinating info. Thanks so much! I really appreciate the guidance. @Spacepanther Over the years I have had rheumatologists do full lab work ups on me. They told me they had screened me for arthritis, lupus, and Lyme disease (all negative). In addition to joint pain and stiffness I had swelling in both knees that later moved to my elbow as well.  I also experience stiffness and pain in my neck and shoulders when it flares. I vomited fairly often growing up, but there wasn’t a real pattern to it and I didn’t know it wasn’t normal (thought people caught stomach viruses often).  I don’t usually have stomach symptoms immediately after eating gluten that I notice.  The only other joint condition I know of is fibromyalgia. Good luck! Hope you can get it figured out. I only assumed my joint symptoms were due to the celiac’s because it is under control for the most part on a gluten-free diet.  The rheumatologist also mentioned that some inflammatory/autoimmune diseases can be slow-moving and not detectable until they progress.
×
×
  • Create New...