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

What About Cortisone?

susiequsie

By susiequsie
in Dermatitis Herpetiformis

Recommended Posts

susiequsie Apprentice
susiequsie
Posted

I am gluten-free and have recently gone CF too. I've not been tested, but know from my reactions that I have these intolerances. Anyway, I recently developed a maddeningly itchy rash on my knee. My doctor prescribed a strong cortisone ointment (I had already tried a weaker one and it helped some) and the rash is almost gone.

My question: In trying to determine whether it might be DH or excema (short of having a biopsy), would the rash have responded to the cortisone if it had been DH?

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

Celiac.com Sponsor (A8-M):


Mother of Jibril Enthusiast
Mother of Jibril
Posted

Nope... the only treatment that works for DH is dapsone and a gluten-free diet.

That doesn't mean your rash is unrelated to gluten! I had a biopsy for a gluten-related itchy rash that was mostly on my hands and arms (a little on my legs too)... made worse by hot showers. The pathologist labeled it, "spongiform, psoriasiform dermatitis." Which means... we don't know exactly what it is, but it's not DH and it's not scabies (or any other insects). :huh:

Actually, there are several types of itchy rashes that could be food intolerance-related... eczema, keratosis pilaris, psoriasis, and autoeczema (also called an "id reaction"). I'm not sure about KP (maybe someone else will know more), but the rest of these do respond to steroid treatment.

missy'smom Collaborator
missy'smom
Posted

My son has eczema that responds to the cream but we did an elimination of gluten for a month and a half and it disappeared completely and didn't come back. When we reintroduced gluten, it came back. So we know that it is caused by wheat/gluten. He doesn't have an official diagnosis of celiac disease, but wheat showed up on allergy testing. See my signature.

ravenwoodglass Mentor
ravenwoodglass
Posted
My question: In trying to determine whether it might be DH or excema (short of having a biopsy), would the rash have responded to the cortisone if it had been DH?

The best way to determine whether this is DH or not is the biopsy. It is a simple procedure where they take a small amount of the tissue next to the lesions. They then look for the antibodies in that tissue. It is not a painful procedure and the doctor will numb the area. If you suspect that the rash is DH you really should at least consider the biopsy as if that comes out positive you then have a definate celiac diagnosis.

I had severe DH and the topical cortizones did seem to help. I also took oral corticosteriods for it and those would work very well but of course soon the rash would be back because I was still consuming gluten.

susiequsie Apprentice
susiequsie
Posted
  • Author
Nope... the only treatment that works for DH is dapsone and a gluten-free diet.

That doesn't mean your rash is unrelated to gluten! I had a biopsy for a gluten-related itchy rash that was mostly on my hands and arms (a little on my legs too)... made worse by hot showers. The pathologist labeled it, "spongiform, psoriasiform dermatitis." Which means... we don't know exactly what it is, but it's not DH and it's not scabies (or any other insects). :huh:

Actually, there are several types of itchy rashes that could be food intolerance-related... eczema, keratosis pilaris, psoriasis, and autoeczema (also called an "id reaction"). I'm not sure about KP (maybe someone else will know more), but the rest of these do respond to steroid treatment.

Your reply is both informative and very helpful. That's what I needed to know. I've had excema many years ago (and as an infant too), so I'm glad to know what most likely it is. Thanks for your help.

susiequsie Apprentice
susiequsie
Posted
  • Author
My son has eczema that responds to the cream but we did an elimination of gluten for a month and a half and it disappeared completely and didn't come back. When we reintroduced gluten, it came back. So we know that it is caused by wheat/gluten. He doesn't have an official diagnosis of celiac disease, but wheat showed up on allergy testing. See my signature.

Thanks for your information, too. I have been gluten free for 6 or 8 months, but have recently decided I'd better do casein free, too. I was allergic to milk as a baby, covered in excema, and have experienced bouts of it off and on through the years. Even though I have drunk very little milk over the years, I'm sure I have gotten it in other ways.

susiequsie Apprentice
susiequsie
Posted
  • Author
The best way to determine whether this is DH or not is the biopsy. It is a simple procedure where they take a small amount of the tissue next to the lesions. They then look for the antibodies in that tissue. It is not a painful procedure and the doctor will numb the area. If you suspect that the rash is DH you really should at least consider the biopsy as if that comes out positive you then have a definate celiac diagnosis.

I had severe DH and the topical cortizones did seem to help. I also took oral corticosteriods for it and those would work very well but of course soon the rash would be back because I was still consuming gluten.

Oh my, now I am confused again. I thought I definitely decided that it was excema. So the cortisones did help? Well, I guess I'll have to think about it some more. The spot was not severe like yours was, at all, and is for the most part gone now after 1 week of the cortisone ointment.

I did have a biopsy a year ago for a sore on my leg. Turned out to be stasis dermatitis from poor circulation in my legs. It was a non-itchy sore and I now wear compression hose.

If this continues to be an ongoing problem, I will have it biopsied. Thanks for your help.

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

Celiac.com Sponsor (A8-M):


Archived

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

Go to topic listing
  • Celiac.com Sponsor (A19):


  • Member Statistics

    • Total Members
      131,857
    • Most Online (within 30 mins)
      7,748
    LowellFrancis
    Newest Member
    LowellFrancis
    Joined
  • Celiac.com Sponsor (A20):

  • Forum Statistics

    • Total Topics
      121.4k
    • Total Posts
      1m
  • Celiac.com Sponsor (A22):



  • Celiac.com Sponsor (A21):


  • Upcoming Events

  • Posts

    • Rogol72
      Ibuprofen

      By Rogol72 · Posted

      Some interesting articles regarding the use of Zinc Carnosine to help heal gastric ulcers, gastritis and intestinal permeability. I would consult a medical professional about it's use. https://www.nature.com/articles/ncpgasthep0778 https://www.rupahealth.com/post/clinical-applications-of-zinc-carnosine---evidence-review https://pmc.ncbi.nlm.nih.gov/articles/PMC7146259/ https://www.fallbrookmedicalcenter.com/zinc-l-carnosine-benefits-dosage-and-safety/
    • Jillian83
      Celiac and dermatitis herpetiformis has taken Me from Me

      By Jillian83 · Posted

      He is. Which makes everything even more difficult. I’m not a believer in “staying for the kids” but I have nowhere to go and it’s not just me, it’s me plus my babies. We live in a beautiful place, lots of land in the country and me and the kids love the place we’ve called home for their entire lives. But Im seeing that he’ll never change, that my kids deserve a happy healthy Momma, and that staying in this as is will be the early death of me. Then I look at the scars covering my entire body…this disease and the chronic stress I’ve been enduring for years that tell me I’m no longer beautiful and no one will ever look at me with interest again. I try self care, try to give myself grace so I can just start loving myself enough to gain strength but the slightest sparkle in my eye and skip in my step attracts his wrath and it all comes crashing ten fold. Life is just absolutely railing me from every single direction leaving me wanting to wave that white flag bc I don’t feel like there’s much hope no matter what happens. 
    • trents
      Celiac and dermatitis herpetiformis has taken Me from Me

      By trents · Posted

      Is this man the father of your children?
    • Jillian83
      Celiac and dermatitis herpetiformis has taken Me from Me

      By Jillian83 · Posted

      Hi, I was recently diagnosed with Celiac and dermatitis herpetiformis after years of suffering without answers. I lost my mind. I lost my job. I lost so much time. I lost Me. Conventional doctors are opulent come near me and the one who did sat across the room, misdiagnosed me, pumped me full of steroids which collapsed my entire hip for 6 months. So without answers I began my holistic journey. Fast forward a couple of years and still struggling with a mysterious whole body itchy, crawling “skin hell”, perfect teeth now deteriorating, thick hair now thinning rapidly and no more than a day or 2 at most relief….An acquaintance opened up a functional medicine practice. Cash only, I found a way. Within a month tests clearly showing my off the charts gluten allergy/sensitivity as well as the depletion of vital nutrients due to leaky gut and intestinal damage. dermatitis herpetiformis was more than likely what I was experiencing with my skin. I was happy. I thought this is easy, eat healthy Whole Foods, follow the diet restrictions and I finally get to heal and feel confident and like myself again very soon! 😔 Supplements are very pricey but I got them and began my healing. Which leads to the other major issue: not working, stay at home Mom of young kids, entirely financially dependent on my man of 7 plus years. He’s never been supportive of anything I’ve ever done or been thru. He controls everything. I’m not given much money ever at a time and when he does leave money it’s only enough to possibly get gas. His excuse is that I’ll spend it on other things. So my “allowance” is inconsistent and has conditions. He withholds money from me as punishment for anything he wants. Since being diagnosed, he’s gained a new control tactic to use as punishment. He now is in control of when I get to eat. He asked for proof of my diagnosis and diet bc he said I made it up just to be able to eat expensive organic foods. Then after I sent him my file from my doctor he then said she wasn’t a real doctor. 😡. I go days upon days starving, sometimes breaking down and eating things I shouldn’t bc I’m so sick then I pay horribly while he gets annoyed and angry bc I’m not keeping up with all the duties I’m supposed to be doing. His abuse turns full on when I’m down and it’s in these desperate times when I need his support and care the most that I’m punished with silence, being starved, ignored, belittled. He will create more of a mess just bc I’m unable to get up and clean so that when I am better, I’m so overwhelmed with chores to catch up that the stress causes me to go right back into a flare from hell and the cycle repeats. I’m punished for being sick. I’m belittled for starving and asking for healthy clean water. I’m purposely left out of his life. He won’t even tell me he’s going to the grocery or to get dinner bc he doesn’t want me to ask him for anything. I have no one. I have nothing. Im not better. My supplements ran out and I desperately need Vitamin D3 and a methylated B complex at the very minimal just to function….he stares at me blankly…no, a slight smirk, no words. He’s happiest when im miserable and I am miserable.  this is so long and im condensing as much as I can but this situation is so complicated and disgusting. And it’s currently my life. The “IT” girl, the healthy, beautiful, perfect skin, perfect teeth, thick and curly locks for days, creative and talented IT girl….now I won’t even leave this house bc Im ashamed of what this has dont to my body, my skin. Im disgusted. The stress is keeping me from healing and I think he knows that and that’s why he continues to keep me in that state. He doesn’t want me confident or successful. He doesn’t want me healed and healthy bc then how would he put the blame of all his problems on me? This journey has been hell and I’ve been in Hell before. I’ve been killed by an ex, I’ve been raped, robbed, held hostage, abused beyond nightmares but the cruelty I’ve experienced from him bc of this disease is the coldest I’ve ever experienced. I’ve wanted to give up. Starving and in tears, desperate…I found a local food pantry in our small town so I reached out just saying I had Celiac and was on hard times. This woman is blessing me daily with prepared gluten free meals, donations, educational info, people who know this disease and how they manage life and the blessings just keep coming. But it’s overwhelming and I feel like I don’t deserve it at all. He just glared and I know he’s going to sabotage it somehow. I don’t even know what to do anymore. I’m so broken and just want peace and healing. 
    • cristiana
      Ibuprofen

      By cristiana · Posted

      @Colleen H   I am just curious,  when you were tested for coeliac disease, did the doctors find out if you had any deficiencies? Sometimes muscle pain can be caused by certain deficiencies, for example, magnesium, vitamin D, calcium, and potassium.   Might be worth looking into having some more tests.  Pins and needles can be neuropathy, again caused by deficiencies, such as iron and B12,  which can be reversed if these deficiencies are addressed. In the UK where I live we are usually only tested for iron, B12 and vitamin D deficiencies at diagnosis.   I was very iron anemic and supplementation made a big difference.  B12 was low normal, but in other countries the UK's low normal would be considered a deficiency.  My vitamin D was low normal, and I've been supplementing ever since (when I remember to take it!) My pins and needles definitely started to improve when my known deficiencies were addressed.  My nutritionist also gave me a broad spectrum supplement which really helped, because I suspect I wasn't just deficient in what I mention above but in many other vitamins and minerals.  But a word of warning, don't take iron unless blood tests reveal you actually need it, and if you are taking it your levels must be regularly monitored because too much can make you ill.  (And if you are currently taking iron, that might actually be making your stomach sore - it did mine, so my GP changed my iron supplementation to a gentler form, ferrous gluconate). Lastly, have you been trying to take anything to lessen the pain in your gut?  I get a sore stomach periodically, usually when I've had too much rich food, or when I have had to take an aspirin or certain antibiotics, or after glutening.  When this happens, I take for just a few days a small daily dose of OTC omeprazole.  I also follow a reflux or gastritis diet. There are lots online but the common denominators to these diets is you need to cut out caffeine, alcohol, rich, spicy, acidic food etc and eat small regularly spaced meals.   When I get a sore stomach, I also find it helpful to drink lots of water.  I also find hot water with a few slices of ginger very soothing to sip, or camomile tea.  A wedge pillow at night is good for reflux. Also,  best not to eat a meal 2-3 hours before going to bed. If the stomach pain is getting worse, though, it would be wise to see the doctor again. I hope some of this helps. Cristiana    
×
×
  • 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.