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DebNC84

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DebNC84 Apprentice
Have you tried Dapsone?

No but I've heard about it - prednizone may do the same thing... but isn't dapzone hard on the liver?


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happygirl Collaborator

According to Dr. Green:

"Q: What triggers DH?

The simple answer is ingested gluten. But iodine (potassium iodide, iodized salt, kelp), some anti-inflammatories and stress can exacerbate the disease. An area of controversy is whether or not gluten can be absorbed through the skin. Most medical experts say no, only dietary gluten is of concern.

DH can be "exquistely sensitive" to gluten. Since the skin may not be rid of the IgA deposits for 2+ years after starting a gluten-free diet, flare-ups may continue to occur. The skin response is much slower compared to the healing of the intestinal mucosa. In particular, outbreaks of facial and scalp lesions while on otherwise adequate treatment is not uncommon."

You would have to talk to your doctor about Dapsone. I don't have DH and can't comment on it. There are others on the board who have been on it, and in the DH/Celiac literature, it is recommended for DH.

Hope you find some relief.

lovegrov Collaborator

The only things that really work on DH are dapsone and some sort of sulfa drug that I can't name. Steroids don't work and are more dangerous to take anyway.

Dapsone has some scary warnings but the most severe reactions are very rare and extremely easy to monitor for (normally you'd go in a few times for a liver panel and blood cell count). Once the complication is found, reducing the dosage or stopping the drug almost without exception reverses things. I took it for more than 20 years and so did my father.

All drugs have potential side effects and many can be hard on the liver, but I've very rarely heard of anybody who wasn't able to take dapsone.

richard

DebNC84 Apprentice
All drugs have potential side effects and many can be hard on the liver, but I've very rarely heard of anybody who wasn't able to take dapsone.

richard

thanks for the information - it helps a lot.

I've eliminated a few food products yesterday - I was better last night - You know how the itching gets worse in the evenings... right? Well no new lesions in two days - itching was minimal last night so we'll see. I'm being careful to only put into my mouth that which I know is gluten free -

I also recently have been using Celtic Sea Salt - which I was told was best for minerals - I wonder what the iodine level is in this salt... probably hasn't helped me at all - but that isn't the reason I've been glutened... just elevated my symptoms.

Does anyone have any input about Celtic Sea Salt?

VioletBlue Contributor

I'm sorry you're having such a hard time. I don't have DH, but I've dealt with an itching problem and dermagraphia for the last couple years. Itching is the worst.

I did a quick google on Celtic Sea Salts and they apparently contain natural iodine and are "rich in trace minerals". It is possible to buy table salt at the grocery store that does not contain iodine, but most types and brands of natural sea salt will contain trace amounts of minerals and iodine.

thanks for the information - it helps a lot.

I've eliminated a few food products yesterday - I was better last night - You know how the itching gets worse in the evenings... right? Well no new lesions in two days - itching was minimal last night so we'll see. I'm being careful to only put into my mouth that which I know is gluten free -

I also recently have been using Celtic Sea Salt - which I was told was best for minerals - I wonder what the iodine level is in this salt... probably hasn't helped me at all - but that isn't the reason I've been glutened... just elevated my symptoms.

Does anyone have any input about Celtic Sea Salt?

DebNC84 Apprentice
I'm sorry you're having such a hard time. I don't have DH, but I've dealt with an itching problem and dermagraphia for the last couple years. Itching is the worst.

I did a quick google on Celtic Sea Salts and they apparently contain natural iodine and are "rich in trace minerals". It is possible to buy table salt at the grocery store that does not contain iodine, but most types and brands of natural sea salt will contain trace amounts of minerals and iodine.

I thought it "was safe to go back in the water" meaning I THOUGHT that it would be OK to add iodine into my diet again - since I had been doing so good and since iodine is essential for proper thyroid function - and I was doing so good at keeping the gluten out - but maybe by keeping iodine out of my diet my DH symptoms were lessened during accidental glutenings - and the whole reaon I'm reacting so heavily now is BECAUSE of the added iodine.

things that make you go hmmmmm.

you know... I REALLY don't like this. But i'm learning and that's good I guess. :)

for those of you who DON'T suffer from DH - Celtic Sea Salt is supposed to be the best thing to add if you are looking for natural minerals - the process the minerals right out of table salt... so there isn't anything left in it when they get through "purifying" it. I got this information from a book by David Brownstein, M.D. & Sheryl Shenefelt, C.N. - they have a book on Celiac - thyroid health - healthy eating - and more / my gynocologist who is gluten sensitive recommended them to me.

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    • trents
      @BlessedinBoston, it is possible that in Canada the product in question is formulated differently than in the USA or at least processed in in a facility that precludes cross contamination. I assume from your user name that you are in the USA. And it is also possible that the product meets the FDA requirement of not more than 20ppm of gluten but you are a super sensitive celiac for whom that standard is insufficient. 
    • BlessedinBoston
      No,Lindt is not gluten free no matter what they say on their website. I found out the hard way when I was newly diagnosed in 2000. At that time the Lindt truffles were just becoming popular and were only sold in small specialty shops at the mall. You couldn't buy them in any stores like today and I was obsessed with them 😁. Took me a while to get around to checking them and was heartbroken when I saw they were absolutely not gluten free 😔. Felt the same when I realized Twizzlers weren't either. Took me a while to get my diet on order after being diagnosed. I was diagnosed with small bowel non Hodgkins lymphoma at the same time. So it was a very stressful time to say the least. Hope this helps 😁.
    • 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
      Wondering if anyone knows whether Lindt chocolate balls are gluten free. The Lindt Canadian website says yes but the Lindt USA website says no. The information is a bit confusing.
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