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2.5 year old son diagnosed with DH and celiacs . . . .


Carianne
Go to solution Solved by trents,

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Carianne Newbie

I recently was able to get a confirmed diagnosis of my sons unrelenting and misdiagnosed rash. It ultimately started shortly after he was introduced to solids although prior to that he had major reflux and gastro issues when switched to formula at 5 months old. He had trouble gaining weight and had developmental set backs due to his unrelenting discomfort. The first time the rash occurred was on his hands and elbows then more noticeably on his face. It was brushed off as normal rashes that often occur with young children. Contact dermatitis, eczema etc. , after a year of these rashes having some relief from hydrocortisone cream and calamine lotion my son broke out in full body hives after jumping around in his jump house with a croissant and just a diaper on. It was scary! We called nurses and almost hit the emergency room if it hadn’t been a case that responded to Benadryl thankfully. The doctors followed up with us afterwards and although they wanted to blame a possible random virus I asked for help from the allergy department. All those basic allergy tests came back normal, they wouldn’t test for food related ones this young. Two weeks later my son started preschool which was highly stressful for him and emotionally depleting. Two weeks into that the rash went crazy, full blown giant blisters that burst when he scratched them, he now was pretty much covered head to toe, everywhere but his stomach and feet. It was horrifying. The doctors brushed it off as impetigo, gave us antibiotics in cream and systemic form, didn’t work, then another round of antibiotics where I demanded a culture, he didn’t respond to that one, cultures came back after they put him through a THIRD round of antibiotics I was beyond reluctant to do to him ( we did pre and probiotics the whole time thankfully) but with no answers I felt helpless. It came back negative fore herpes and impetigo. That’s when I demanded to speak to dermatology. One hour in her office, an biopsy schedule 5 days later, and 9 days after that we got Dapsone cream and a diagnosis. We are refraining from oral dapsone as he is so young. I am NCGS and have Hoshimottos thyroiditis, (I have suspected for years it was misdiagnosed and was truly celiacs as I had gastrointestinal issues for two decades before I removed gluten) , going gluten free hasn’t been hard for me to do for my son, it’s been 4 weeks, no more blisters, but the rash is definitely taking its time to clear up. Any advice or suggestions is greatly appreciated. This has been so hard and heartbreaking to watch him go through and I so badly want my baby boy to feel better and kick this rashes butt! 


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  • Solution
trents Grand Master

Welcome to the forum, Carianne!

Quite a few of our forum members report that reducing iodine intake helps significantly with DH.

Wheatwacked Veteran

My son bloated up right after weaning. Thankfully no DH.  My mom said "you got what you gave" but we persisted and he was diagnosed with Celiac a month later after several biopsies and started on Nutramigen (hypoallergenic with complete nutrition.  It was the only one with choline back in 1976).  They make Nutramigen for Toddlers now.  

The same doctor said that by kindergarden the teachers would beg we put him on Ritalin, because he has ADD. Which did come about.  He was on Ritalin through High School.  Started him swimming competitively at 5.  Set several high school records that held for years after graduation and became a professional ocean guard, close to retirement now.  Have Hope

knitty kitty Grand Master

@Carianne, welcome to the forum!

 Has your son been checked for nutritional deficiencies? 

Most Celiacs have deficiencies in the eight essential B vitamins.  Niacinamide Vitamin B 3 has helped my skin clear up from DH. 

 

The Role of Nutrition in Immune-Mediated, Inflammatory Skin Disease: A Narrative Review

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8840467/

Scott Adams Grand Master

I'm sorry to hear about your son! This article may be helpful:

 

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    • knitty kitty
      @Jmartes71, I understand your frustration and anger.  I've been in a similar situation where no doctor took me seriously, accused me of making things up, and eventually sent me home to suffer alone.   My doctors did not recognize nutritional deficiencies.  Doctors are trained in medical learning institutions that are funded by pharmaceutical companies.  They are taught which medications cover up which symptoms.  Doctors are required to take twenty  hours of nutritional education in seven years of medical training.  (They can earn nine hours in Nutrition by taking a three day weekend seminar.)  They are taught nutritional deficiencies are passe' and don't happen in our well fed Western society any more.  In Celiac Disease, the autoimmune response and inflammation affects the absorption of ALL the essential vitamins and minerals.  Correcting nutritional deficiencies caused by malabsorption is essential!  I begged my doctor to check my Vitamin D level, which he did only after making sure my insurance would cover it.  When my Vitamin D came back extremely low, my doctor was very surprised, but refused to test for further nutritional deficiencies because he "couldn't make money prescribing vitamins.". I believe it was beyond his knowledge, so he blamed me for making stuff up, and stormed out of the exam room.  I had studied Nutrition before earning a degree in Microbiology.  I switched because I was curious what vitamins from our food were doing in our bodies.  Vitamins are substances that our bodies cannot manufacture, so we must ingest them every day.  Without them, our bodies cannot manufacture life sustaining enzymes and we sicken and die.   At home alone, I could feel myself dying.  It's an unnerving feeling, to say the least, and, so, with nothing left to lose, I relied in my education in nutrition.  My symptoms of Thiamine deficiency were the worst, so I began taking high dose Thiamine.  I had health improvement within an hour.  It was magical.  I continued taking high dose thiamine with a B Complex, magnesium. and other essential nutrients.  The health improvements continued for months.  High doses of thiamine are required to correct a thiamine deficiency because thiamine affects every cell and mitochondria in our bodies.    A twenty percent increase in dietary thiamine causes an eighty percent increase in brain function.  The cerebellum of the brain is most affected.  The cerebellum controls things we don't have to consciously have to think about, like digestion, balance, breathing, blood pressure, heart rate, hormone regulation, and many more.  Thiamine is absorbed from the digestive tract and sent to the most important organs like the brain and the heart.  This leaves the digestive tract depleted of Thiamine and symptoms of Gastrointestinal Beriberi, a thiamine deficiency localized in the digestive system, begin to appear.  Symptoms of Gastrointestinal Beriberi include anxiety, depression, chronic fatigue, headaches, Gerd, acid reflux, gas, slow stomach emptying, gastroparesis, bloating, diarrhea and/or constipation, incontinence, abdominal pain, IBS,  SIBO, POTS, high blood pressure, heart rate changes like tachycardia, difficulty swallowing, Barrett's Esophagus, peripheral neuropathy, and more. Doctors are only taught about thiamine deficiency in alcoholism and look for the classic triad of symptoms (changes in gait, mental function, and nystagmus) but fail to realize that gastrointestinal symptoms can precede these symptoms by months.  All three classic triad of symptoms only appear in fifteen percent of patients, with most patients being diagnosed with thiamine deficiency post mortem.  I had all three but swore I didn't drink, so I was dismissed as "crazy" and sent home to die basically.   Yes, I understand how frustrating no answers from doctors can be.  I took OTC Thiamine Hydrochloride, and later thiamine in the forms TTFD (tetrahydrofurfuryl disulfide) and Benfotiamine to correct my thiamine deficiency.  I also took magnesium, needed by thiamine to make those life sustaining enzymes.  Thiamine interacts with each of the other B vitamins, so the other B vitamins must be supplemented as well.  Thiamine is safe and nontoxic even in high doses.   A doctor can administer high dose thiamine by IV along with the other B vitamins.  Again, Thiamine is safe and nontoxic even in high doses.  Thiamine should be given if only to rule Gastrointestinal Beriberi out as a cause of your symptoms.  If no improvement, no harm is done. Share the following link with your doctors.  Section Three is especially informative.  They need to be expand their knowledge about Thiamine and nutrition in Celiac Disease.  Ask for an Erythrocyte Transketolace Activity test for thiamine deficiency.  This test is more reliable than a blood test. Thiamine, gastrointestinal beriberi and acetylcholine signaling.  https://pmc.ncbi.nlm.nih.gov/articles/PMC12014454/ Best wishes!
    • Jmartes71
      I have been diagnosed with celiac in 1994, in remission not eating wheat and other foods not to consume  my household eats wheat.I have diagnosed sibo, hernia ibs, high blood pressure, menopause, chronic fatigue just to name a few oh yes and Barrett's esophagus which i forgot, I currently have bumps in back of my throat, one Dr stated we all have bumps in the back of our throat.Im in pain.Standford specialist really dismissed me and now im really in limbo and trying to get properly cared for.I found a new gi and new pcp but its still a mess and medical is making it look like im a disability chaser when Im actively not well I look and feel horrible and its adding anxiety and depression more so.Im angery my condition is affecting me and its being down played 
    • marion wheaton
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    • JoJo0611
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    • Scott Adams
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