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    Can products which contain gluten but only touch the skin affect celiacs?*


    Scott Adams


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    Very few celiacs are likely to have any reaction to topical gluten contact. In order for a gut reaction to occur, it is likely that direct contact with the gut lumen is required. Many people with celiac disease have everyday contact with gluten (for instance, bakers with celiac disease who have contact everyday with wheat flour), and do not have any reaction to it. However, there are, on rare occasion, people who have had an anaphylactoid response to gluten, and these people should avoid gluten in all forms. Also, topical gluten breathed into the upper airways may cause symptoms of allergic rhetinitis in rare instances. If there is a simple alternative to a shampoo, cosmetic, etc., you may want to use the non gluten containing product.

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    Just starting out, everything helps greatly !!

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    This is one of the best sites for new people. Easy to access!

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    Guest miranda

    Posted

    I've been wondering that for years but wasn't sure, thanks!

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    Yes, I have had some experiences with shampoos that had wheat in them, it caused a lot of uncontrollable itching. I recently was trying a face cream with collagen, and was getting a rash that was unexplained, until I found that collagen comes from wheat. It took quite a while for the rash to go away after I discontinued use. I had to use vitamin E to get rid of it. Now that is all I use and it works nice.

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    I see no research sited that supports the premise that topical gluten has no adverse effect on celiacs. Until I see research that proves topical gluten is safe for celiacs, I will continue to recommend that celiacs avoid gluten-containing personal products. Additionally, I have heard anecdotal stories similar to Judy's that would concern me. Certainly it is recommended that those with dermatitis herpetiformis avoid topical gluten!

     

    When we work so hard to avoid ingesting gluten, does it make any sense to use a shampoo or hand cream with wheat protein? I suppose you never get shampoo or your hair in your mouth or you never lick your fingers. I guess you would have to be very careful to avoid accidental ingestion.

     

    Also, I am shocked to see the inference that baking with gluten products has no effect on celiacs. Even if skin contact has no effect, the possibility of breathing in gluten through the mouth while talking and thus ingesting it accidentally is enough to suggest that all celiacs avoid baking with gluten! In fact, I know one celiac baker who was very sick until he quit his job. Perhaps all the bakers mentioned in the article are not as sensitive, but I hope they have their antibodies checked regularly.

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    Guest Bobbie

    Posted

    I have had many reactions to products containing gluten as well. I'm not convinced that this stuff doesn't affect the skin. I used to get dermatitis herpetiformis every time I used lotion or gel until I realized that some had hydrolized wheat protein in them. Same with my shampoo. As soon as I changed to Dove, the dandruff and skin problems totally ceased.

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    I was diagnosed over the summer and I have steadily gotten more and more sensitive. At first I didn't worry about hair and skin products with gluten, but now I have realized that they do affect me. I think this is because it's impossible to avoid getting some products into contact with my mouth. For instance, I had a hair product that I used one day. I washed my hands like I usually did after using it, but later on I fluffed my hair with my hands. Then I went and ate a tangerine, putting my hands all over it, not really thinking. An hour later, I was throwing up. I checked the label and wheat protein was a main ingredient. I also used to get rashes while using some lotions and facial moisturizers, surprise surprise, they have hydrolyzed wheat protein and barley extract. For me, it's not worth it! I could never imagine the horror of having to breathe in flour all day.

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    Guest sheila watson

    Posted

    Many manufacturers of hair and skin products, do not list on their labels ALL the ingredients, so it behooves us the public to call them and esquire. I don't know what ingredient has caused some rashes on my skin but now that I have been diagnosed I'm more likely to esquire.

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    Guest Hilaire Perry

    Posted

    I have such trouble when hydrolyzed wheat protein touches my scalp. It starts out as small pimples and becomes small open sores by the end of the day. I had switched my shampoo and conditioner and thought I was all set until I used hairspray (thinking there is no way gluten would be in hairspray)...thought I was going crazy until I read the label.

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    I had been using volume shampoo's without realizing they contained hydrolyzed wheat protein. Every time I used these shampoos my hair fell out in mass amounts. I literally have lost half my hair in the past two years. After being diagnosed with celiac disease, I checked my shampoo and hair product ingredients. Bingo! hydrolyzed wheat protein. Since I no longer use hair products with this ingredient, I no longer lose hair.

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    Guest debra higgins

    Posted

    I too have celic and have had reactions to of all things, bath tissue. I am very careful with what I purchase making sure I call or email the company for a list of ingredients.

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    Guest Roland Maduro

    Posted

    I wonder everyday about the cross-contamination of wheat. I suspected touching bread was making me sick, but then I realized soap was making me itch.

     

    Thanks for the information.

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    Guest marylou hubbard

    Posted

    i have dermatitis herpetiformis too. Does anyone out there know of any hair products that are gluten and wheat free?

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    Guest stephpbk

    Posted

    i have dermatitis herpetiformis too. Does anyone out there know of any hair products that are gluten and wheat free?

    @Marylou hubbard. I don't know if have heard of Arbonne but it is a fabulous company that makes over 400 gluten-free products from shampoo/conditioner, protein powder and skin care products! We are in the process of getting our almost 4 year old tested for celiac disease and swear by these products! I hope this helps.

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    This article was originally published in 1996. The responses came 12-16 years later. I would encourage all folks new to a celiac disease diagnosis, or anyone trying to be informed, to research this topic beyond this article.

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    I have had many reactions to products containing gluten as well. I'm not convinced that this stuff doesn't affect the skin. I used to get dermatitis herpetiformis every time I used lotion or gel until I realized that some had hydrolized wheat protein in them. Same with my shampoo. As soon as I changed to Dove, the dandruff and skin problems totally ceased.

    I just recently found out I have a wheat allergy. This info makes sense to me. I used to think that my low carb diet cured my dandruff until I changed shampoo and was confused. I finally read the ingredients and found out there were wheat products in it. My shampoo brought back my dandruff. Now I have to change back. I am glad I realized that topical exposure to gluten also produces an allergic reaction. Duh! Your skin is a large, absorbent organ - you do not necessarily have to have a 'gut' reaction to ingested wheat to trigger allergies.

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    Guest Jodi Hubbell

    Posted

    i have dermatitis herpetiformis too. Does anyone out there know of any hair products that are gluten and wheat free?

    Alterna is gluten free and available in salons. While it does have fragrance (which can include hidden gluten), which I try to stay away from and I prefer to use something more "natural" I get contact dermitis that may or may not be from gluten so I stick with what works for me.

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    Not all Arbonne items are wheat free. They claim they use a process to remove the gluten but I now plan to avoid certain items like a certain shampoo with a great scent but wheat protein in it. So read the ingredients carefully before buying Arbonne.

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    I would like to express my concern that I have received many e-mail responses from companies telling me that there is 'no evidence' that gluten is absorbed through the skin. I can tell you it IS absorbed through the skin. Perhaps I am sensitive, but I have clear distinct gluten response including vasovagal response, abdominal cramping itching, insomnia, and severe edema, a response that took much research on my own part to relate to certain mascara, most self-tanners, and some shampoos. Some of the manufacturers such as Pureology have admitted gluten in some of their hair care products, which then makes it easy to avoid. But, it is quite annoying to be told that there is no such thing.... I hope there is future advanced cooperation by some of these manufacturers to make consumers aware so that they can avoid any unwanted response. It truly is not fun to find out the hard way...

    Education is the tool to greater health for all of us....

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    I am a celiac, when I was first diagnosed 5 years ago I went through a stage where I didn't use gluten products around me at all. Now that I'm more comfortable with what is fact--I even use Aveno as a skin cream, I don't even look at ingredients anymore unless I eat them. I have to say also that I am very very sensitive to gluten. This place was my Bible for many years I trust what they post! I will continue to trust what they post. I don't stress over my celiac disease anymore, time and knowledge has lightening my load. I also just had a check up biopsy done and my villi are perfect! Thank you Celiac.com for helping my stay informed all these years.

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    I would like to express my concern that I have received many e-mail responses from companies telling me that there is 'no evidence' that gluten is absorbed through the skin. I can tell you it IS absorbed through the skin. Perhaps I am sensitive, but I have clear distinct gluten response including vasovagal response, abdominal cramping itching, insomnia, and severe edema, a response that took much research on my own part to relate to certain mascara, most self-tanners, and some shampoos. Some of the manufacturers such as Pureology have admitted gluten in some of their hair care products, which then makes it easy to avoid. But, it is quite annoying to be told that there is no such thing.... I hope there is future advanced cooperation by some of these manufacturers to make consumers aware so that they can avoid any unwanted response. It truly is not fun to find out the hard way...

    Education is the tool to greater health for all of us....

    Your allergic to something else in the products you are using. Mayne it's time to research other allergens?

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    I would like to express my concern that I have received many e-mail responses from companies telling me that there is 'no evidence' that gluten is absorbed through the skin. I can tell you it IS absorbed through the skin. Perhaps I am sensitive, but I have clear distinct gluten response including vasovagal response, abdominal cramping itching, insomnia, and severe edema, a response that took much research on my own part to relate to certain mascara, most self-tanners, and some shampoos. Some of the manufacturers such as Pureology have admitted gluten in some of their hair care products, which then makes it easy to avoid. But, it is quite annoying to be told that there is no such thing.... I hope there is future advanced cooperation by some of these manufacturers to make consumers aware so that they can avoid any unwanted response. It truly is not fun to find out the hard way...

    Education is the tool to greater health for all of us....

    Irregardless of what they think, we have a right to choose what ingredients we choose to purchase and the only way we can do that is if they disclose. I agree with you. Interestingly I knew a bartender who had terrible problems because he came in constant contact with beer which contains gluten. I myself cannot drink from glasses in bars even though I order soda because they are dipped in the same solution as the beer glasses.

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    Guest LuDena

    Posted

    Maybe it's not common but we are out there. I had to stop cooking separate wheat pasta for the kids because if I breathed the steam or put my arm through it I would swell up like a balloon and where it touched my skin it created sores.

    I also live where wheat and barley is grown every harvest I get sick if I leave the house, I have helps filters on my heat and cool unit . It triggers my Crohn's, my asthma comes back, I swell and get sicker and sicker until the rains come after harvest. It takes longer and longer to recover each year. I now leave the area for 2 to 3 months to stay well.

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    1. Toft M, Dietrichs E. Aggravated stuttering following subthalamic deep brain stimulation in Parkinson’s disease--two cases. BMC Neurol. 2011 Apr 8;11:44.
    2. Tani T, Sakai Y. Stuttering after right cerebellar infarction: a case study. J Fluency Disord. 2010 Jun;35(2):141-5. Epub 2010 Mar 15.
    3. Lundgren K, Helm-Estabrooks N, Klein R. Stuttering Following Acquired Brain Damage: A Review of the Literature. J Neurolinguistics. 2010 Sep 1;23(5):447-454.
    4. Jäncke L, Hänggi J, Steinmetz H. Morphological brain differences between adult stutterers and non-stutterers. BMC Neurol. 2004 Dec 10;4(1):23.
    5. Kell CA, Neumann K, von Kriegstein K, Posenenske C, von Gudenberg AW, Euler H, Giraud AL. How the brain repairs stuttering. Brain. 2009 Oct;132(Pt 10):2747-60. Epub 2009 Aug 26.
    6. Galantucci S, Tartaglia MC, Wilson SM, Henry ML, Filippi M, Agosta F, Dronkers NF, Henry RG, Ogar JM, Miller BL, Gorno-Tempini ML. White matter damage in primary progressive aphasias: a diffusion tensor tractography study. Brain. 2011 Jun 11.
    7. Lundgren K, Helm-Estabrooks N, Klein R. Stuttering Following Acquired Brain Damage: A Review of the Literature. J Neurolinguistics. 2010 Sep 1;23(5):447-454.
    8. [No authors listed] Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 43-1988. A 52-year-old man with persistent watery diarrhea and aphasia. N Engl J Med. 1988 Oct 27;319(17):1139-48
    9. Molteni N, Bardella MT, Baldassarri AR, Bianchi PA. Celiac disease associated with epilepsy and intracranial calcifications: report of two patients. Am J Gastroenterol. 1988 Sep;83(9):992-4.
    10. http://ezinearticles.com/?Food-Allergy-and-Stuttering-Link&id=1235725 
    11. http://www.craig.copperleife.com/health/stuttering_allergies.htm 
    12. https://www.celiac.com/forums/topic/73362-any-help-is-appreciated/
    13. Ford RP. The gluten syndrome: a neurological disease. Med Hypotheses. 2009 Sep;73(3):438-40. Epub 2009 Apr 29.
    14. Hadjivassiliou M, Gibson A, Davies-Jones GA, Lobo AJ, Stephenson TJ, Milford-Ward A. Does cryptic gluten sensitivity play a part in neurological illness? Lancet. 1996 Feb 10;347(8998):369-71.

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    They are variously affiliated with the Department of Pathology and Cell Biology, and the Department of Medicine at the Celiac Disease Center, New York Presbyterian Hospital/Columbia University Medical Center, New York, USA. Their team analyzed results of TCR-GR analyses performed on SB biopsies at our institution over a 3-year period, which were obtained from eight active celiac disease, 172 celiac disease on gluten-free diet, 33 RCDI, and three RCDII patients and 14 patients without celiac disease. 
    Clonal TCR-GRs are not infrequent in cases lacking features of RCDII, while PCPs are frequent in all disease phases. TCR-GR results should be assessed in conjunction with immunophenotypic, histological and clinical findings for appropriate diagnosis and classification of RCD.
    The team divided the TCR-GR patterns into clonal, polyclonal and prominent clonal peaks (PCPs), and correlated these patterns with clinical and pathological features. In all, they detected clonal TCR-GR products in biopsies from 67% of patients with RCDII, 17% of patients with RCDI and 6% of patients with gluten-free diet. They found PCPs in all disease phases, but saw no significant difference in the TCR-GR patterns between the non-RCDII disease categories (p=0.39). 
    They also noted a higher frequency of surface CD3(−) IELs in cases with clonal TCR-GR, but the PCP pattern showed no associations with any clinical or pathological feature. 
    Repeat biopsy showed that the clonal or PCP pattern persisted for up to 2 years with no evidence of RCDII. The study indicates that better understanding of clonal T cell receptor gene rearrangements may help researchers improve refractory celiac diagnosis. 
    Source:
    Journal of Clinical Pathologyhttp://dx.doi.org/10.1136/jclinpath-2018-205023

    Jefferson Adams
    Celiac.com 06/13/2018 - There have been numerous reports that olmesartan, aka Benicar, seems to trigger sprue‐like enteropathy in many patients, but so far, studies have produced mixed results, and there really hasn’t been a rigorous study of the issue. A team of researchers recently set out to assess whether olmesartan is associated with a higher rate of enteropathy compared with other angiotensin II receptor blockers (ARBs).
    The research team included Y.‐H. Dong; Y. Jin; TN Tsacogianis; M He; PH Hsieh; and JJ Gagne. They are variously affiliated with the Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School in Boston, MA, USA; the Faculty of Pharmacy, School of Pharmaceutical Science at National Yang‐Ming University in Taipei, Taiwan; and the Department of Hepato‐Gastroenterology, Chi Mei Medical Center in Tainan, Taiwan.
    To get solid data on the issue, the team conducted a cohort study among ARB initiators in 5 US claims databases covering numerous health insurers. They used Cox regression models to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for enteropathy‐related outcomes, including celiac disease, malabsorption, concomitant diagnoses of diarrhea and weight loss, and non‐infectious enteropathy. In all, they found nearly two million eligible patients. 
    They then assessed those patients and compared the results for olmesartan initiators to initiators of other ARBs after propensity score (PS) matching. They found unadjusted incidence rates of 0.82, 1.41, 1.66 and 29.20 per 1,000 person‐years for celiac disease, malabsorption, concomitant diagnoses of diarrhea and weight loss, and non‐infectious enteropathy respectively. 
    After PS matching comparing olmesartan to other ARBs, hazard ratios were 1.21 (95% CI, 1.05‐1.40), 1.00 (95% CI, 0.88‐1.13), 1.22 (95% CI, 1.10‐1.36) and 1.04 (95% CI, 1.01‐1.07) for each outcome. Patients aged 65 years and older showed greater hazard ratios for celiac disease, as did patients receiving treatment for more than 1 year, and patients receiving higher cumulative olmesartan doses.
    This is the first comprehensive multi‐database study to document a higher rate of enteropathy in olmesartan initiators as compared to initiators of other ARBs, though absolute rates were low for both groups.
    Source:
    Alimentary Pharmacology & Therapeutics