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Caroline S

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Caroline S Rookie

I’m new to this forum. Hello… I have been dealing with extremely itchy skin rash bumps since March 2024. Skin biopsy indicated Dermatitis Herpetiformis, linked to Celiac.  I have been gluten-free for 8 years because of sluggishness from gluten , but doubled down on cross-contamination. House is gluten-free. Hoping to get advice on my diet snd skin/hair/oral hygiene to see if I’m missing something. A typical day is as follows: coffee with CGF oat milk, Vans blueberry waffle (CGF), fresh fruit, IQ Almond butter protein bar (CGF), leafy green salad w/veges and turkey or chicken breast or tuna on Udi’s bread, raisins, steamed veges, chicken or fish, jasmine rice(CGF), or baked potato ,avocado, juice or jelly beans to treat insulin reactions (I’m also T1D 35 years) chewing gum. I’m looking for diet advice (with specific brand suggestions)regarding eliminating risk of gluten exposure. 

I’ve been using Dr. Bronners peppermint soap for decades, but looking for other maybe safer(?) suggestions for skincare, oral hygiene, hair care. 
 

looking to connect with anyone with Dermatitis Herpetiformis. I’m pretty miserable with all the itchiness and my skin looks and feels awful. :(

Thank you!

 


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trents Grand Master

Many or most chewing gums have gluten in them. Also, check the jelly beans. The tuna is high in iodine. Iodine exacerbates dermatitis herpetiformis. 

Bev in Milw Rookie

IgA deposits under the skin are responsible for dermatitis herpetiformis.  Trace exposure to gluten triggers outbreaks & perpetuates deposites.  Iodine only causes reaction in existing ones.  
   If you’re gluten-free long enough, body may break down deposits. Gluten is topical products/ shampoos -VitE from wheat germ, hydrolyzed wheat protein,, etc, can cause reactions. 

Avoiding iodine is probably trickier since it needed for thyroid function.  Iodized salt is major source, started in pre-50’s to prevent goiters in areas where soil lacked adequate iodine. 
   Anything from ocean has iodine as well. Sea salt, seafood  & fish from ocean are  obvious sources.  Seaweed (nori, kelp, etc) also falls into that category but are tricker when  processed into emulsifiers, agar, ‘whatever’-alginates, & carrageenan.  Those end up in dairy products like ice cream, cream cheese, dips, also dry mixes.   In FDA-labeled products, it  usually  listed in ‘Contains less than 2% of…“ which is still 20,000 ppm.  
    As far as gluten, when discuion on oats stated 20-ish years ago, I did an informal poll of our group members and found that major of those who had problems with oats had Type 0 blood.  Maybe a cross reaction to something  that seem similar to gluten.  
  In book, Eat Right for your Type (P D’Adamo)), oats are  on’ Avoid list’ only for Type O’s. As an I myself, I’ve sampled a few gluten-free oats. While probably not enough to cause major problem, something subtle was just off for me. Decided it wasn’t worth cost since it gave me NO additional joy…

   

Caroline S Rookie

Thanks. I use “real salt” from salt mines (not iodized) but good to know about fish. That’s so sad because I eat fish at least once per week (usually wild salmon or cod) 

I have eliminated all dairy for past 2 weeks. Trying to find a dermatologist who specializes in autoimmune skin issues like this. 

my follow up skin biopsy to test for Iga immunoglobulins was oddly negative even though punch tests were from 2 pustulates in same area as the 2 that tested positive for Dermatitis Herpetiformis! So it’s frustratingly I conclusive. I may ask for repeat skin biopsy to look for IgA

my blood type is B+ so hopefully CGF oats are ok. 
 

I read on this forum that Udis brand and glutinous brand may actually have cross contamination? Is this anecdotal?

I'm aware of the need for gluten-free skin/hair care products which is why I asked for recommendations. 

I’m looking for recommendations of specific brands of rice, bread, protein bars, skincare, hair care, toothpaste
 

 

Caroline S Rookie

Typos: “frustratingly Inconclusive”

and “Udis snd Glutino brands”

 

Scott Adams Grand Master

Oats naturally contain a protein called avenin, which is similar to the gluten proteins found in wheat, barley, and rye. While avenin is generally considered safe for most people with celiac disease, some individuals, around 5-10% of celiacs, may also have sensitivity to avenin, leading to symptoms similar to gluten exposure.

This article may also be helpful:

 

 

trents Grand Master

My understanding is that the biopsies should not be take from the pustules themselves but from the skin adjacent to them. It can be difficult to find a dermatologist who knows how to biopsy for dermatitis herpetiformis correctly. 

Do you have any GI involvement in your celiac disease? Have you had blood antibody testing done or small bowel biopsy performed?


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Caroline S Rookie

Thanks Scott. I did not realize it was a specific protein in oats; I thought it was the risk of x-contamination in processing. Sigh. Do you know if coconut milk/cream has and gluten threat? I’ve been using oat milk in my coffee and occasional certified gluten-free oatmeal. But I will try cutting out oats. 

Thanks for the article, I will take a look. 
 

Do you feel CGF rice is safe? If so is there a specific brand? 
 

Also looking for a brand of CGF bread. 
 

 

Caroline S Rookie

Thanks Trent. 
I am currently looking for a new dermatologist with experience around this at a larger medical campus in a nearby city. (I’m in MA) I’m waiting for a call. My understanding is the med to help dermatitis herpetiformis requires a genetic test as well. My Derma sent me to my GI. My GI sent me to allergist and allergist is sending me back to Derma who is not willing to treat me. It’s quite frustrating. I can’t believe he did the biopsy incorrectly. Sigh. 
 I’m off antihistamines because I’m having skin testing next week to check for other food allergies. so I’m relying on a topical steroid cream for itch and rash which only helps about 50% (triamcinolone)

I do not have GI involvement in my Celiac. My blood does not show celiac because I took myself off gluten about 8 years ago because 1/2 my friends with T1D have celiac and I was getting fatigue from gluten. I do test positive for the genetic celiac blood test. I have not been biopsied internally because neither they (nor I) want to put me on gluten to set up for a positive biopsy. All signs point to Celiac. 
 

any advice on bread and rice brands or products is appreciated . Baked potato gets old after a while! 

Caroline S Rookie

* my last upper and lower GI looked good. I also take 20 mg omeprazole daily. 

trents Grand Master
7 minutes ago, Caroline S said:

* my last upper and lower GI looked good. I also take 20 mg omeprazole daily. 

Have you given thought to the health risks associated with long term PPI therapy? They raise stomach PH and inhibit digestion of nutrients and also put you at increased risk for GI infections. I was on a PPI for years but managed to wean myself off it over about a year and now, after some other dietary and lifestyle changes, hardly have any problem with GERD. PPI's are among the most misused/abused medications in the pharmaceutical world. They were meant for short-term use but docs put people on them and never do follow-up.

Caroline S Rookie

Yes I have. I tried an alkaline diet for a year after suffering GERD pain and being dx with Barrets Esophogus. But it did not help and my endoscopy showed dried blood . People with T1D have higher acidity in general. I’ve felt so much better and my overall digestion has  improved with PPI use in the last year. It’s often on my mind though (daily PPI use), but right now I’m just trying to navigate gluten and Dermatitis Herpetiformis because it is really making my quality of life difficult . It feels like chronic poison ivy. Thanks for the concern though. I’m managing multiple chronic illnesses (including T1D for 35 years on insulin life support for 20 years, restrictive airway disease, chronic migraine with visual sensitivity for the last 4 years. I’ve always lived healthfully, never smoked, never drank, eaten with nutrients and health in mind, etc. I’ve inherited some unfortunate genes! I’m swamped!

Margaret O'Connor Newbie

Caroline, I have found for myself the iodine in fish triggers dermatitis herpetiformis. As well eating food which has been cross 

contaminated, brings out resumption of dermatitis herpetiformis again.

Scott Adams Grand Master
2 hours ago, Caroline S said:

Thanks Scott. I did not realize it was a specific protein in oats; I thought it was the risk of x-contamination in processing. Sigh. Do you know if coconut milk/cream has and gluten threat? I’ve been using oat milk in my coffee and occasional certified gluten-free oatmeal. But I will try cutting out oats. 

Thanks for the article, I will take a look. 
 

Do you feel CGF rice is safe? If so is there a specific brand? 
 

Also looking for a brand of CGF bread. 
 

 

Coconut milk is unlikely to contain gluten, especially brands from Thailand and Vietnam, as they don't grow any wheat there and use very little of it in their foods. I'm not sure if you are referring to a specific brand here, but in general coconut products have a very low risk of contamination. Most rice is safe, whether certified or not, and I don't have a specific brand to recommend, but I use California rice as it's lower in arsenic compared to rice grown in other areas, for example Texas.

BoiseNic Apprentice

Somebody mentioned oats previously. I have celiac disease and dermatitis herpetiformis. Oats mess me up just as bad as anything else, even the "gluten free" ones. I would stay away from iodized salt also, as someone mentioned. People with celiac disease and dermatitis herpetiformis have tend to have lots of other triggers or intolerances besides gluten. Citric or watery fruits trigger mine. Also, if I drink any fluids within a couple hours before or after I eat, that seems to cause a reaction. This may have something to do with leaky gut or motility issues. I've also noticed candida overgrowth that I am starting to address. The one absolute cure-all for me besides high doses of Dapsone is fasting. I would do a prolonged fast and then slowly introduce vegetables and protein sources. Apples absolutely terrorize me also for some reason. Most fruits are triggers for me actually. I seem to do alright with blueberries though. There are supplements that help also like 3 grams of MSM a day, but you will have a breakout phase. High dose B5 helps, but also has a breakout phase. I've been dealing with this as far as I can remember. I am now 46. If my diet is in check, I only have to take 50mg of Dapsone a day.

BoiseNic Apprentice

I'd stay away from coffee also.

BoiseNic Apprentice

Oh sorry, fasting might me tricky with T1D. I would read up on it. There are some sources that claim fasting help diabetes also. 

trents Grand Master

@BoiseNic, if most fruits give you problems, I would think you might be fructose intolerant. 

BoiseNic Apprentice

Maybe, but I have been diagnosed with celiac disease and dermatitis herpetiformis. I think the constant use of antibiotics has messed up my microbiome and made intolerant to a lot of foods. Cannot do dairy either. This is not uncommon for people with celiac disease. 

patty-maguire Contributor

I have celiac disease and suffered with dermatitis herpetiformis for years.  The itchy rash is one of the first symptoms if I accidentally consume gluten.  I'm a big fan of Dr. Alessio Fasano, he is the Director the the Celiac Disease Research and Treatment Center at Massachusetts General Hospital and wrote a great book called Gluten Freedom.  His recommendation for anyone with residual symptoms is to avoid gluten free processed foods and stick to a whole food Mediterranean style diet.  I find this works best for me too.  It's hard to avoid processed foods completely but maybe consider doing it for a month or so to see it things clear up, then add some of your favorites back in one at a time and see what happens.  It might help you pinpoint the culprit.

All the best.

Beverage Rising Star

I cannot eat oats, gluten free or even certified gluten free, unless they are Purity Protocol.  

https://www.glutenfreewatchdog.org/news/oats-produced-under-a-gluten-free-purity-protocol-listing-of-suppliers-and-manufacturers/

Try cutting out the oat milk and anything else that contains oats for awhile and see how you do.

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Family doctor prescribed Kreon anyway (after I pushed for it), and I just started taking 1 capsule (10,000 units) with meals 2 days ago, but couldn‘t see effects yet because I’ve been constipated the last few days. Maybe because of thyroid. I don’t have Hashimoto’s. No thyroid antibodies. But I took levothyroxine for slightly low FT4 levels. My thyroid levels fluctuated between borderline low and low-normal. And recently lowered my dose so that may have caused the constipating. I probably didn’t need it in the first place, and am thinking about stopping it soon.   Current Diet Right now, I only eat a very limited set of “safe” foods I prepare myself: • Gluten-free bread with tuna or cheese • Milk and cornflakes • gluten-free cookies/snacks • Bananas (the only fruit I trust right now) I rarely eat other fruits or vegetables, because I’m scared of contamination. My dad, who also has celiac but doesn’t care about CC, buys fruits, and he might’ve picked them up right after handling gluten bread. That makes me feel unsafe eating them. Even fruit at stores or markets feels risky because so many people with gluten on their hands touch them.   My Home Situation (Shared Kitchen) We’re a family of 5. Only my dad and I have celiac. He eats glutenfree but doesn’t care about CC and sometimes (but rarely) cheats. My mom and siblings eat gluten bread at every meal. My mom is honest (so if i ask her to be cautious, she most likely would try to), but doesn’t seem to understand how serious celiac is. She: • Stopped using gluten flour • only cooks gluten-free meals (but they still heat up gluten bread and also cook gluten noodles) • Keeps separate butter/jam/jars for me • Bought me a stainless steel pan Bu we didn’t replace old wooden utensils, cutting boards, or other pans. The new they bought me pan was even carried home in a shopping bag with gluten bread in it, which triggered my OCD. It also has a rubber handle and I’m scared it might still hold onto gluten. Even if it’s washed well, it’s stored next to other pans that were used for gluten food/bread. Our kitchen table is used for eating gluten bread daily. My mom wipes it but not with soap. I’m scared tiny particles remain. If she made gluten-free bread dough on a board at the table, I’d still worry about cross contmaination contamination even with something under the dough and on the table as at one point the dough would probably touch the table. So I stopped eating anything she makes.   I know OCD is making it worse, but I can’t tell how much of my fear is real and how much is anxiety. Examples: • I wash my hands 20–30 times a day — before eating, after touching anything at home or outside, after using my phone/laptop. • I don’t let others touch my phone, and I’m scared to use my laptop because friends at school or my brother (who eat gluten) have touched it. And it annoys me a lot when others touch my stuff and feels like it got contaminated and is unsafe instantly. • I stopped eating while using my phone or laptop, afraid of invisible gluten being on them. • I wash my hands after opening food packaging (since it was on store cashier belts where gluten food is placed). • I avoid sitting anywhere except my bed or one clean chair. • I won’t shake hands with anyone or walk past people eating gluten. • At school, when switching classes, I wash my hands before getting out my laptop, again before opening it, etc. • I open door knobs with my elbows instead my hands   Job Concerns (Powder Coating, Sandblasting, Etc.) I’m working a temporary job right now that involves: • Powder coating • Sandblasting • Wet spray painting • Anodizing There’s also a laboratory. I don’t need this job, and my OCD makes me believe that dust or air particles there might contain gluten somehow. Should I quit?   Doctors Haven’t Helped My family doctor told me: “Asymptomatic celiac isn’t serious, if you have no symptoms, your intestines won’t get damaged, so you don’t need a gluten-free diet.” I knew that was wrong, but he wasn’t open to listening. I just nodded and didn‘t argue. My gastroenterologist (who’s also a dietitian) said: „If your antibodies are negative, there’s no damage. It might even be okay to try small amounts of gluten later if antibodies stay negative.“ Also said, pepper that says “may contain gluten” is fine if it only contains pepper. She was more informed than my family doctor but didn’t seem to fully understand celiac either.   Questions I Need Help With 1. Is it realistically safe to eat food my mom cooks, if we get separate pans/ and boards even if gluten is still used in the same kitchen? There will always be low risk of cc chances like that she will still touch stuff that was touched by her and my siblings after they ate gluten. And as there are gluten eaters in the house and she also prepares and eats gluten. So would opening the fridge then getting the food and touching the food be okay? So basically what i am doing, washing my hands multiple times while preparing food, she would only wash it once before, then touch anything else (for example water tap or handles) that were touched with gluteny hands, then also touch the food. I dont know if I ever could feel safe, I could try telling her how important cc really is. And I trust her so she wouldnt lie to me then be careless about cc, but idk how safe it really can be if she and everyone else keeps eating gluten and touching stuff in the house after eating. 2. Do I need to worry about touching doorknobs, fridge handles, light switches, etc. that family members touched after eating gluten? What about public places like bus handles or school desks? Or like if i went to the gym, I would be touching stuff all the time, so there will be small amounts of gluten and those would get transferred on my phone if I touch my phone while in the gym. But I want to knos if it would be enough to do damage. 3. Is an endoscopy (without biopsy) enough to tell if my intestines are healed? I’d pay privately if it could help and if i dont get a refferal. Or do i need a biopsy? 4. Could my job (powder coating, sandblasting, etc.) expose me to gluten or damage my intestines through air/dust? 5. Do I need certified gluten-free toothpaste, hand soap, shampoo, or moisturizer? (For example: Vaseline and Colgate don’t contain gluten ingredients but say they can’t guarantee it’s gluten-free.) 6. Is spices like pepper with “may contain traces of gluten” safe if no gluten ingredients are listed? Or does everything need to be labeled gluten-free?  7. Is continuing to only eat my own food the better choice, or could I eventually go back to eating what my mom cooks if she’s careful? 8. is cutlery from dishwasher safe if there are stains? Stuff like knives is used for cutting gluten bread or fork for noodles etc. I often see stains which i dont know if its gluten or something else but our dish washer doesnt seem to make it completely clean. 9. I wash my hands multiple times while preparing food. Do i need to do the same when touching my phone. Like if i touch the fridge handle, I wash my hands then touch the phone. I dont eat while using my phone but i leave it on my bed and pillow and my face could come in contact with where it was.  10. Do i need to clean my phone or laptop if theyve been used by people who eat gluten? Even if no crumbs fall onto my keybaord, i mean because of invisible gluten on their fingers. 11. Does medication/supplements have to be strictly glutenfree? One company said they couldn‘t guarantee if their probiotics don’t contain traces of gluten.  12. I had bought supplements in the past, some of them say glutenfree and some of them dont(like the brand „NOW“ from iherb). I bought them and used them when i wasnt washing my hands so often, are they still safe? As I touched and opened them after touching door knobs, water taps etc. It was like a year ago when i bought those and even though i was eating gluten-free, I never worried about what i touch etc. I know this post is long. I’m just extremely overwhelmed. I’m trying to protect myself from long-term health damage, but the OCD is destroying my quality of life, and I honestly don’t know what’s a reasonable level of caution anymore. Thanks for reading.
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