Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Diagnosed With Dermatitis Herpetiformis


MDW1

Recommended Posts

MDW1 Newbie

I was diagnosed with Dematitis Herpetiformis last January and my doctor prescribed Dapsone plus a gluten free diet. This past August I had to stop taking the Dapsone because it was causing a problem with my red blood count. So.......

now more then ever I had to be gluten free. Even though I am gluten free (at least I think I am) I am still getting the itchy bumps on my elbows and knees. When it gets real bad, I take a dose of Dapone (I have a few tablets left on my original prescription) and it stops but then I do not take anymore Dapsone but three days later the bumps start up again. Can anyone please tell me when the itchy bumps will stop developing? When they develop is it from some gluten I ate the day before or is it from something I ate a month ago and it just takes time to get the old gluten out of my body? Any help would be very very appreciated!!!


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



Franceen Explorer

All of what you say is true! It can takes months to rid the Gluten from you system enough to completely clear up DH. AND, it takes a LOT of diligence to be completely gluten Free. I thought I was for months, turned out I wasn't. Once I really became obsessive about being truly Gluten Free instead of Gluten "Lite" I had noticeable improvement in the DH, but it took 3 months for it to totally disappear. I now find that I react right away (and now I'm getting intestinal symptoms too within hours). The DH takes about 2 - 3 days to appear and much longer to clear once I've been glutened (a month or more).

I, too, took Dapsone - and almost died from it - I got the anemia and then it affected my liver. Once I stopped it, I HAD to be VERY Gluten Free because I had DH all over my whole body at that point. I haven't taken Dapsone for about 20 months now and am not tempted to take even one. But I DO get Prednisone from my Dr. if I have a very bad breakout from accidental glutening (POINT: it's NEVER purposeful glutening!).

DH is tough because it can be a delayed reaction and take so long to clear. Just keep pursuing more and better Gluten Free Eating! (Restaurants are my worst enemy, but I have to eat out for work and I love to eat out with my husband!)

dhd2000 Newbie

I was diagnosed in May, but never took Dapsone because of drug allergies. For a few months I had to be very careful and found that other things could also trigger the outbreaks, like advil, iodized salt and maltodextrin. Without those things, I am finally clear, but now sometimes get GI symptoms with some of the premade gluten-free products. If I stick with a very basic diet (meat/fish, fruit, veggies, nuts, rice and potatoes) and limit my gluten-free products, I am fine. And I also found that things like the maltodextrin and iodized salt would cause spots quickly, within a couple of hours, but wheat and advil caused delayed reactions, like a day or two.

Good luck!

Denise

Forgot to ask if you already use gluten-free shampoo and soap, ect.

JoeB Apprentice

After about 3 months being gluten-free, the outbreaks lessened, but every once in a while, I'd get an outbreak on my elbows, knees or shoulders. I never used Dapsone because I found I manage the problem by using aloe and an occassional benedryl to keep the itching bearable. It took me about 18 months after being diagnosed for all the DH symptoms to completely disappear. I haven't had any problems since (I'm about 30 months gluten-free now).

You just have to stick to the gluten-free diet religiously and eventually the itching will disappear. Hang in there.

Rusla Enthusiast

When you are gluten-free you need to be totally gluten free, that means, soaps, shampoos, lotions, food. You must read every label all the time and if you aren't sure don't touch it. I also call all the companies if their phone number is on the bottles. Now, I have DH and being careful of shampoos etc. because it affects the DH also if you have lotion on your hands and it is not Gluten free then when you pick up something to eat, you injest it. I always get glutened at work no matter how careful I am at cleaning things off and wearing gloves to do it. All it takes is a few crumbs for me.

MDW1 Newbie

What is the ingredient in the soaps and shampoos that causes a problem? Some of the chemical names are so hard

to determine. I use to use Ban deodorant but I checked and it has a barley extract in it so I discontinued using it. My

diet pretty much consists of boiled/grilled chicken, grilled hamburger, hard boiled eggs, grapes, strawberries, potatoes, frozen corn, frozen peas, rice (gluten free), macaroni(gluten free) & cheese, gatoraid, 7-UP, white zinfandel wine, and milk. I am tempted to eliminate the dairy as I am hearing this may be a problem also. Not sure....So hard.....I think I am eating gluten free but I still break out with these itchy bumps....Not sure if it something I ate yesterday or something I ate 6 months ago. This really stinks!

Archived

This topic is now archived and is closed to further replies.

  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - trents replied to Seabeemee's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      1

      Labs ? Awaiting in person follow up with my GI

    2. - Seabeemee posted a topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      1

      Labs ? Awaiting in person follow up with my GI

    3. - trents replied to mike101020's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      3

      EMA Result

  • Celiac.com Sponsor (A19):
  • Member Statistics

    • Total Members
      133,164
    • Most Online (within 30 mins)
      7,748

    Kellyc79
    Newest Member
    Kellyc79
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):
  • Forum Statistics

    • Total Topics
      121.5k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Upcoming Events

  • Posts

    • trents
      Welcome to the celiac.com community, @Seabeemee! The fact that the genetic testing shows you do not have either of the two genes associated with the potential to develop celiac disease (HlA DQ2 and HLA DQ8) pretty much ensures that you do not have celiac disease and the biopsy of the small bowel showing "normal villous architecture" confirms this. But you could have NCGS (Non Celiac Gluten Sensitivity) which would not damage the villous architecture. You could also have SIBO (Small Intestine Bacterial Overgrowth) or H. Pylori infection. And with your resection of the small bowel, that could be causing it's own problems like you describe. When was that surgery done?
    • Seabeemee
      My Doctor messaged me that I have no sign of Celiac disease so until I meet with her next week I don’t know what the labs mean. I am being evaluated by my new GI for Celiac disease because of digestive issues (bloating, distention, fullness in mid section, diarrhea).  I also have been diagnosed with GERD and some associated issues hence the endoscopy. I also was diagnosed with NAFLD after an abdominal CT scan in December - which surprises me because I gave up alcohol 5 years ago, workout 5 days a week, cardio / weights and cook from scratch every night. Anecdotally,  I do feel better when I do not eat a lot of carbs and have been staying away from gluten 95% of the time until my follow up.  History: I had an emergency bowel obstruction operation in August 2021 for a double closed loop obstruction, open surgery removed 40 cm of my small intestine, my appendix, cecal valve and illeocectomy. Beside the fact that this put me in the situation of no longer being able to absorb Vitamin B12  from my diet and having to  inject Vit B 12 2x a month, I also became Iron deficient and am on EOD iron to keep my levels high enough to support my Vitamin B12 injections, as well as daily folic acid. I tested positive for pernicious anemia in 2022 but most recently that same test came back negative. Negative Intrinsic Factor. My results from the biopsies showed 2nd part of Duodenum, small bowel Mildly patch increased intraepithelial lymphocytes with intact villious architecture. Comment: Duodenal biopsies with normal villous architecture and increased intrepithelial lymphocytes (Marsh I lesion) are found in 1-3% of patients undergoing duodenal biopsy, and an association with celiac disease is well established however the specificity remains low. Similar histologic findings may be seen in H pylori gastritis, NSAID and other medication use including olmesartan, bacterial overgrowth, tropical sprue and certain autoimmune disorders. So my GI ordered Labs for Celiac confirmation: Sorry I couldn’t upload a photo or pdf so typed below: TEST NAME                               IN RANGE and/or RESULTS RESULTS:  IMMUNOGLOBULIN A :           110 GLIADIN (DEAMIDATED) AB (IGG, IGA)                            <1.0 GLIADIN (DEAMIDATED) AB (IGA)                                     <1.0 GLIADIN (DEAMIDATED) AB (IGG)                                    <1.0 TISSUE TRANSGLUTAMINASE ANTIBODY, IGG, IGA TISSUE TRANSGLUTAMINASE AB, IGG                                     <1.0 TISSUE TRANSGLUTAMINASE AB, IGA                                     <1.0 INTERPRETATION: <15.0 ANTIBODY NOT DETECTED  > OR = 15.0 ANTIBODY DETECTED RESULTS: HLA TYPING FOR CELIAC DISEASE INTERPRETATION (note The patient does not have the HLA-DQ associated with celiac disease variants) More than 97% of celiac patients carry either HLA-DQ2 (DQA1*05/DQB1*02) or HLA-DQ8 (DQA1*03/DQB1*0302) or both. Genetic counseling as needed. HLA DQ2 : NEGATIVE HLA D08: NEGATIVE HLA VARIANTS DETECTED: HLA DA1* : 01 HLA DA1* : 05 HLA DQB1*: 0301 HLA DQB1*: 0501 RESULTS REVIEWED BY: Benjamin A Hilton, Ph.D., FACMG I appreciate any input, thank you.         
    • trents
      Let me hasten to add that if you will be undergoing an endoscopy/biopsy, it is critical that you do not begin efforts to reduce gluten beforehand. Doing so will render the results invalid as it will allow the small bowel lining to heal and, therefore, obscure the damage done by celiac disease which is what the biopsy is looking for.
    • Scott Adams
      This article, and the comments below it, may be helpful:    
    • Scott Adams
      That’s a really tough situation. A few key points: as mentioned, a gluten challenge does require daily gluten for several weeks to make blood tests meaningful, but negative tests after limited exposure aren’t reliable. Dermatitis herpetiformis can also be tricky to diagnose unless the biopsy is taken from normal-looking skin next to a lesion. Some people with celiac or DH don’t react every time they’re exposed, so lack of symptoms doesn’t rule it out. Given your history and family cancer risk, this is something I’d strongly discuss with a celiac-experienced gastroenterologist or dermatologist before attempting a challenge on your own, so risks and benefits are clearly weighed.
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.