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DH ,Lichen sclerosis and now oral Lichen planus


Bichongirl44

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Bichongirl44 Rookie

I am 74 yr old female, dx with DH 2011, after 7 yrs telling docs.... "its not eczema" so I am still on Dapsone 1 tab a day......I am very careful with my diet, but when I go out to eat I sometimes get caught....I have been having trouble with a sore mouth on and off for about 12 months and this last year getting very sore....doc. put me on anti fungal tabs o n 2 different occasions ...it didn't work,so eventually sent to ENT who has dx she thinks (waiting for results of biopsy) its Oral Lichen Planus....I was dx with Lichen sclerosis about 2012, and use a strong steroid cream, Clobetasol, which keeps it reasonably under control

Does anyone out there also have these 3 skin conditions?

Betty 

 


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GFinDC Veteran

Hi Betty,

Welcome to the forum! :)

I don't have DH myself, but we do have members with it who check in fairly often.  Hopefully you'll get responses from them.

In the meantime though, you can try searching for info using the magnifier near the top right side of the forum banner.  It should be under your user name.  You may find some old post by people with the conditions you are interested in.

I did a search on lichen planus below.  The first 5 or so links are advertisements, so ignore those.

https://www.celiac.com/search/?q=lichen planus&fromCSE=1

Here is a link to search on lichen sclerosis:

Advertisments are at the top also.

https://www.celiac.com/search/?q=lichen sclerosis&fromCSE=1

Bichongirl44 Rookie

Thanks for your quick reply,GFinDC, I will have a look at those atricles you recommended

Betty 

ravenwoodglass Mentor

Welcome to the board Betty. Do be sure to read the Newbie 101 thread at the top of the Coping page. Being gluten free and staying safe is a bit more complicated than just the food we choose. While I don't have LP I do have DH.  I never took Dapsone even though my DH was severe before diagnosis. I had been on so many meds for so many years that I just wanted a life without pills. In addition the side effects can be nasty and I had some liver impact from the celiac so I didn't want to risk it. I do hope your doctor has been doing regular blood work to check liver function etc. I am going to post a link to the side effects so you and your doctor can decide if you want to stay on the drug.

https://www.drugs.com/sfx/dapsone-side-effects.html

There can be some rebounding of the DH, from what folks have stated, when the med is stopped. You still likely have antibodies lurking in and those need time to clear. Limiting iodine can help. I just switched from iodized salt and made sure there was none in any supplements but many have to avoid high iodine foods for a bit also. Iodine is an important nutrient so do be sure to add it back in when you stop getting new lesions.

There are folks who have gotten relief from LP gluten free so that may clear up for you on it's own. Have they done any follow-up blood work since your diagnosis to see if your antibody levels have gone down?  Be aware that if you are on or using steroid pills or creams that can cause a false negative with blood testing. If you levels need to be checked then you need to stop the cream for a time.

Please try to eat as much unprocessed food as you can for a bit and only eat out in places that you know for sure are using safe practices. I hope things improve for you soon.

 

 

  • 2 weeks later...
Bichongirl44 Rookie

Thank you Ravenwood for your helpful and  informative reply... I have to have some blood tests next week......so I will keep your advice in mind....thanks again

Betty S

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    • trents
      Thanks for the explanation about the "brown sauce". I kind of suspected it might be a colloquialism but I wasn't sure. So, are these "brown" and "red" sauces commercial products or home made or can it be either?
    • suek54
      Hi Trents, its a very English thing....there's red sauce (ketchup) and brown sauce, more spicy. People tend to be one or the other. Both usually have malt vinegar in them, so both a no-no for us,  unless you hunt for a specified gluten-free make.  Hi Belle, Any meat which has been processed is likely to have cereal in it. If someone is having a BBQ, maybe take a small steak, lamb chop or piece of salmon for yourself. something which has had no processing at all.  No-one will mind, just leave it on a piece of foil so that it doesn't share space with gluten-containing foods.  Avoid all dressings, except olive oil, though again you could always take your own gluten-free version. It sure is a steep learning curve but I'm getting my head round it now.  Sue  
    • trents
      Brown sauce? What's that about? What does the color have to do with anything?
    • BelleDeJour
      Hi @suek54 Good point. I hesitated over what to choose to eat - there were burgers and sausages and I knew that each came with potential wheat possibility. It was my friend who was cooking the BBQ at a local event. It's so tricky, isn't it? I ended up going for the burger and stupidly didn't think about the brown sauce but knew something gluten-containing had been consumed as my legs were itching all over for hours when I went to bed on Sunday. Arrgh!  Actually, my initial thought was corn on the cob as I had that too... and it grows near wheat. Could it also have been that? Are you able to eat that?  I agree with you about the heat, I am finding it tricky too especially at night. I have had 3 itchy nights in a row and am at this point thinking I was silly not to ask about Dapsone at my derm appointment but maybe things will calm down now I am back on being more in control of my food. I also have some more topical steroid coming and that does keep it under control. I plan to visit my son in Scotland for a few days in July so am going to see how things go for a few weeks and if the itch does not calm again, I will do an e-consult with my GP and request Dapsone to try (or something that might just help a bit over that holiday, or longer term). I really don't relish the thought of being in Itch Hell on holiday, just want to enjoy seeing my son and his girlfriend.  So pleased to read that you are feeling more comfortable on the higher dose. I am really pleased for you and long may it continue for you.  
    • suek54
      Hi Belle Oops!  Can you eat burgers OK? So many of them have added cereal to pad them out.  Hope the after-effects are not too bad? I'm OK. Here in SE UK we are having a mini heatwave. 35° today. Keeping cool as much as possible to prevent itching from the heat. Otherwise not too bad thanks. Dapsone 100mg proving much better than 50mg. Still a few itchy patches but no spots as such. Making life easier.  How are you generally (when not eating brown sauce)? Sue        
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