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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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    • Russ H
      Do you have the standard range for the test results you received? A level of anti-tTG2 antibodies at least 10x the standard range is almost certainly (>98%) due to coeliac disease. Moderately raised levels can be caused by other conditions as well as coeliac disease. Accuracy of the No-Biopsy Approach for the Diagnosis of Celiac Disease in Adults: A Systematic Review and Meta-Analysis It is possible to have latent or early stage coeliac disease without histological changes visible by microscope. As has been suggest in this thread, if the repeat test comes up negative and serology is high, request an HLA genetic test from your specialist. Only 40 % of the population carries an HLA gene variant enabling the development of coeliac disease - if you test negative for this, it is quite unlikely that you have coeliac disease.  
    • Wheatwacked
      Hi @Ginger38, By now you know that these things improve without gluten. I once saw an interview with a corporation executive where he proudly declared that his wheat products are more addictive than potato chips. Dr Fuhrman (Eat to Live) said find foods that are friendly to you to be friends with.  
    • cristiana
      Hi @CC90 Ah... that is very interesting.  Although it is very annoying for you to have to go through it all again, I would say that almost sounds like an admission that they didn't look far enough last time?   I could be wrong, but I would not be at all surprised if they find something on the next attempt.  Coeliac damage can be very patchy, as I understand it, so that's why my own gastroenterologist always likes to point out that he's taken lots of samples!  In the kindest possible way (you don't want to upset the person doing the procedure!) I'd be inclined to tell them what happened last time and to ask them in person to take samples lower down, as  if your health system is anything like the one in my country, communication between GPs, consultants and hospitals isn't always very good.  You don't want the same mistake to be made again. You say that your first endoscopy was traumatic?  May I ask, looking at your spelling of coeliac, was this done at an NHS hospital in England?  The reason for the question is that one of my NHS diagnosed friends was not automatically offered a sedative and managed without one.  Inspired by her, I tried to have an endoscopy one time, in a private setting, without one, so that I could recover quicker, but I had to request sedative in the end it was so uncomfortable.    I am sorry that you will have to go through a gluten challenge again but to make things easier, ensure you eat things containing gluten that you will miss should you have to go gluten free one day. 😂 I was told to eat 2 slices of normal wholemeal bread or the equivalent every day in the weeks before , but I also opted for Weetabix and dozens of Penguin chocolate biscuits.  (I had a very tight headache across my temple for days before the procedure, which I thought was interesting as I had that frequently growing up. - must have been a coeliac symptom!)  Anyway, I do hope you soon get the answers you are looking for and do keep us posted. Cristiana  
    • CC90
      Hi Cristiana   Yes I've had the biopsy results showing normal villi and intestinal mucosa.  The repeat endoscopy (requested by the gastro doc) would be to take samples from further into the intestine than the previous endoscopy reached.      
    • Wheatwacked
      Transglutaminase IgA is the gold-standard blood test for celiac disease. Sensitivity of over 90% and specificity of 95–99%. It rarely produces false positives.  An elevated level means your immune system is reacting to gluten.  Non-Celiac Gluten Sensitivity (NCGS) does not typically cause high levels of tTG-IgA. Unfortunately the protocols for a diagnosis of Celiac Disease are aimed at proving you don't have it, leaving you twisting in the wind. Genetic testing and improvement on a trial gluten free diet, also avoiding milk protein, will likely show improvement in short order if it is Celiac; but will that satisfy the medical system for a diagnosis? If you do end up scheduling a repeat endoscopy, be sure to eat up to 10 grams of gluten for 8 - 12 weeks.  You want  to create maximum damage. Not a medical opinion, but my vote is yes.
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