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lbd

Skin Absorption Of Gluten

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...A person with DH does not necessarily have Celiac...

Actually, a person with DH definitely does have celiac disease. So much so that if you have a skin-biopsy diagnosed case of DH, then it's taken as a diagnosis of celiac disease. No gut biopsy needed.

"Dermatitis herpetiformis (DH) is the skin manifestation of celiac disease. All patients with DH have celiac disease. It is an intensely itchy rash that usually occurs in the same place for each patient. This may be on the hands or fingers, forearms, buttocks or scalp or anywhere on the body. The rash typically consists of very itchy, small red dots that may develop into blisters or pimples. They are intensely itchy.

The diagnosis is clinical and can be confirmed by biopsy. The biopsy, for best results, needs to be taken from just adjacent to a lesion. The biopsy needs to have special immunofluorescence tests performed on it.

Treatment is first and foremost a gluten-free diet. This results in resolution of the lesions and will prevent new lesions. The diet also will prevent the development of lymphoma, that occurs at an increased rate as in patients with celiac disease. Drugs (Dapsone) may help patients recover from a severe episode, but are not a substitute for the diet. Patients with DH are very sensitive to small amounts of gluten."

http://www.celiacdiseasecenter.columbia.ed...A03-WhatAre.htm

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I was diagnosed by DH biopsy.

I was told this was a definitive diagnosis.

Furthermore, I believe in my ase it is an advanced form of the disease. Once your body takes to depositiing antibodies in the skin (or around the heart), you have been eating and reacting to gluten for quite awhile.

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Momma Goose, are you telling me that I was mis-diagnosed (yet again?)

Are you telling me that I can go eat gluten again?

Are you saying that this entire year (+) that I have been gluten free was for naught?

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Momma Goose, are you telling me that I was mis-diagnosed (yet again?)

Are you telling me that I can go eat gluten again?

Are you saying that this entire year (+) that I have been gluten free was for naught?

I believe what she's saying is that, since the full effects of gluten on the body of someone who cannot process gluten completely are not fully defined, the labels that are applied (gluten intolerant, Celiac Disease, DH, etc.) are inconsistently used. Some people/doctors/sites will call DH celiac disease, others will call them separate disease stemming from one cause, others will say that gluten enteropathy, and perhaps also DH, are secondary to other diseases.

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Are you telling me that I can go eat gluten again?

Are you saying that this entire year (+) that I have been gluten free was for naught?

I don't think that she was saying that at all. Leaving aside the question of whether DH and celiac disease are the same or different, the fact remains that the treatment for DH is the strict adherence to a gluten-free diet.

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