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How Does A Dh Outbreak Progress?

Terrified Mom

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Terrified Mom Newbie
Terrified Mom
Posted

My son has had a rash pop up on his thighs and belly over the last couple of months. It started off looking like tiny whiteheads, TONS of them over his thighs. Now there are 7-8 plaque like lesions on his thighs, and 3 on his belly. It does look like many of the psoriasis pictures I've seen (although my brother was dx'd with psoriasis 20 years ago and it looks nothing like his), but I'm partially hoping my son has DH. Wouldn't be surprised if my brother's was that, too, looking at online images of DH. I was losing hope that my son has DH until I saw several posts here mentioning the small white head like bumps. Does my son's progression sound right? I'll try to post a picture of what it looks like now when I get home in a couple of hours.

Thanks in advance!

ETA: I should note that it doesn't seem to itch, but he says it does hurt.

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Terrified Mom Newbie
Terrified Mom
Posted
  • Author

legs2.webp

That's his spots from a few days ago. When I picked him up today they were nowhere near as red and it looks as if someone painted clear nail polish over them. Very shiny and slightly sticky feeling. Nanny thinks it's ringworm, but I would think the ped would have caught that 2 weeks ago.

lovegrov Collaborator
lovegrov
Posted

Doesn't sound or look like DH to me. I had it for 20 years.

richard

mushroom Proficient
mushroom
Posted

I must say that the scaly plaque on his right leg (left as you look at the picture) looks a great deal like a psoriasis plaque. Did they do a punch biopsy of one of the scales to make the psoriasis diagnosis?

Terrified Mom Newbie
Terrified Mom
Posted
  • Author

They haven't done anything to test his rash, the pedi just looked at it and said psoriasis. She said she could distinguish it from eczema by scratching at it, psoriasis would bleed, but she didn't want to do that to him. Well, I have, and no bleeding. A friend of mine whose daughter has been dx'd with celiac said his rash looks just like her DDs, and it always flares up after she's glutened by her grandparents.

Why does this all have to be so confusing?

Terrified Mom Newbie
Terrified Mom
Posted
  • Author

BTW... here is a closeup of the two spots on his right leg...

legs3.webp

mushroom Proficient
mushroom
Posted

She said she could distinguish it from eczema by scratching at it, psoriasis would bleed, but she didn't want to do that to him. Well, I have, and no bleeding.

My psosriasis has never bled :blink: and believe me I have scratched at it plenty. The closeup shows more discrete white bumps rather than scales. I think he should see a dermatologist for eval.

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  • 2 weeks later...
Terrified Mom Newbie
Terrified Mom
Posted
  • Author

We go to the derm on May 20 and the gluten-free trial has been canceled. I posted on the pre-dx board about what his rash has done, but wanted to post it here, too, with updated pictures.

The above picture was taken April 2nd. we went gluten-free around that time and I was using Psorzema on his rash. It was improving. As of April 20 most of the redness was gone, except for right after his bath. It was slowly fading away.

His father took him on the 20th for a second opinion. This ped said Ringworm. (Yes, I know, it looks NOTHING like ringworm, because it ISN'T!!!) He rx'd an antifungal. I've been using it, more to prove them wrong than anything and anticipate seeing the derm as scheduled on the 20th.

Now, after a week of using the antifungal AND putting Michael back on gluten...

legs1b.webp

legs2b.webp

legs3b.webp

Here's the April 2nd picture again just for easy comparison without as much scrolling...

legs2.webp

WAY worse. :(

andiewilson10 Newbie
andiewilson10
Posted

some of those red welts without the white in the middle is what my DH looked like on my elbows and under arms before i was diagnosed. i was on steriod cream, anti fungal, everything other than a gluten-free diet. i think the anti fungal might have made it worse... who knows. get it biopsied and see. make sure they take a chuck of normal looking skin RIGHT next to the rash for a DH diagnosis.

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      26F!
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