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Hi, New Here, Help Needed!


Ukbird

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Ukbird Newbie

Just wondered if my symptoms are like anyone elses. For 5 years i have had itchy skin and digestive problems. For the last 18 months i've had what i thought was ibs. This summer i started with a horrible itchy rash that was symmetrical on my upper arms, elbows, hands, shins and ankles. Some were itchy bumps, others were blisters on my fingers and toes that i scratched till they turned into blood blisters and i had to burst them. I had positive ANA and my dermatologist was convinced straight away i had DH. He took a biopsy from my back where there were no spots and told me it was negative and discharged me. I had gluten this weekend and spots have reappeared on my arms, buttocks and now my back, quite mild at the moment but itchy. Does this sound like DH to anyone? Any help appreciated. Ps my dad was never investigated but he was an itchy person with a few spots and he died of stomach cancer.


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Cath4k Apprentice
Just wondered if my symptoms are like anyone elses. For 5 years i have had itchy skin and digestive problems. For the last 18 months i've had what i thought was ibs. This summer i started with a horrible itchy rash that was symmetrical on my upper arms, elbows, hands, shins and ankles. Some were itchy bumps, others were blisters on my fingers and toes that i scratched till they turned into blood blisters and i had to burst them. I had positive ANA and my dermatologist was convinced straight away i had DH. He took a biopsy from my back where there were no spots and told me it was negative and discharged me. I had gluten this weekend and spots have reappeared on my arms, buttocks and now my back, quite mild at the moment but itchy. Does this sound like DH to anyone? Any help appreciated. Ps my dad was never investigated but he was an itchy person with a few spots and he died of stomach cancer.

I am not an expert, but it is my understanding that the biopsy has to be done properly. It has to be taken from the skin right next to an active blister. You say your doctor took the biopsy from your back where there were no spots. Would he be willing to test again when you have an active outbreak? Or better yet - maybe you should find a new dermatologist who is more familiar with DH. If you have a local celiac support group, that would be a good place to look for an experienced doctor. I found a good dermatologist and a good gastroenterologist by googling my city name along with the key words "celiac" or "dermatitis herpetiformis." Both times it pulled up the website of my local support group and times that doctors had spoken to the group.

Again, I am not an expert, but it sounds like classic DH to me.

Cathy

hayley3 Contributor

Sorry, I don't know what you have but I had the itchy bumps on my fingers that turned into blood blisters, but I'm not dx'd. I quit eating processed foods, which got rid of alot of gluten I suppose and it went away. Never thought about it again until I read your message. I'll be curious to see if anyone else has had the itchy blood blisters. I can't remember if I had them on my toes or not but I think I did.

I had a bad rash on my arms for years that they never figured out what it was.

  • 3 weeks later...
muddy puppy Newbie
Just wondered if my symptoms are like anyone elses. For 5 years i have had itchy skin and digestive problems. For the last 18 months i've had what i thought was ibs. This summer i started with a horrible itchy rash that was symmetrical on my upper arms, elbows, hands, shins and ankles. Some were itchy bumps, others were blisters on my fingers and toes that i scratched till they turned into blood blisters and i had to burst them. I had positive ANA and my dermatologist was convinced straight away i had DH. He took a biopsy from my back where there were no spots and told me it was negative and discharged me. I had gluten this weekend and spots have reappeared on my arms, buttocks and now my back, quite mild at the moment but itchy. Does this sound like DH to anyone? Any help appreciated. Ps my dad was never investigated but he was an itchy person with a few spots and he died of stomach cancer.

It kind of sounds like it... (though I'm no doctor,) but I've heard that a skin biopsy is not always accurate. I have have very severly itchy skin for about 4 years now, though I've had at least some itchy spots my whole life. Depending on where it itches, its different. Most of my body its just dry, raised, red, and irritated, but if I scratch the palms of my hands I will get little blisters and if I scratch alot those blisters will bleed. On places like my neck and shoulders, I will get these hard little bumps that take weeks to months to go away. They are not blisters, and feel like they are deep under the skin. One of the worst places to itch.... eyelids. Yes thats right, my eyelids always itch, are always red, and puffy. I haven't worn makeup in years! I gave up on Doctors a long time ago... they got me nowhere. I called my last dermatologist asking questions about gluten, (right before I went gluten free) and she told me she highly doubted it was the cause of my problems. Well, I have before and after pictures for her. The best thing you can do is just stick to a 100% (as best you can) gluten free diet and see what happens. It took a few months to really see results, but part of that is because there is a lot of trial and error. Most people think oh, ok, give up bread, pasta, cake, cookies and obvious stuff like that... but who thinks that much of salad dressing, bbq sauce, mayonaise, hot dogs, sausage, bacon, marinades, ice cream, etc... etc... The only thing I can say, is one has to be diligent.

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    • Scott Adams
      This is a very common question, and the most important thing to know is that no, Guinness is not considered safe for individuals with coeliac disease. While it's fascinating to hear anecdotes from other coeliacs who can drink it without immediate issues, this is a risky exception rather than the rule. The core issue is that Guinness is brewed from barley, which contains gluten, and the standard brewing process does not remove the gluten protein to a level safe for coeliacs (below 20ppm). For someone like you who experiences dermatitis herpetiformis, the reaction is particularly significant. DH is triggered by gluten ingestion, even without immediate gastrointestinal symptoms. So, while you may not feel an instant stomach upset, drinking a gluten-containing beer like Guinness could very well provoke a flare-up of your skin condition days later. It would be a gamble with a potentially uncomfortable and long-lasting consequence. Fortunately, there are excellent, certified gluten-free stouts available now that can provide a safe and satisfying alternative without the risk.
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    • Butch68
      Before being diagnosed coeliac I used to love Guinness. Being made from barley it should be something a coeliac shouldn’t drink. But taking to another coeliac and they can drink it with no ill effects and have heard of others who can drink it too.  is this everyone’s experience?  Can I drink it?  I get dermatitis herpetiformis and don’t get instant reactions to gluten so can’t try it to see for myself. 
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    • Scott Adams
      I will assume you did the gluten challenge properly and were eating a lot of gluten daily for 6-8 weeks before your test, but if not, that could be the issue. You can still have celiac disease with negative blood test results, although it's not as common:  Clinical and genetic profile of patients with seronegative coeliac disease: the natural history and response to gluten-free diet: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606118/  Seronegative Celiac Disease - A Challenging Case: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441776/  Enteropathies with villous atrophy but negative coeliac serology in adults: current issues: https://pubmed.ncbi.nlm.nih.gov/34764141/  Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS.
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