Dermatitis Herpetiformis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions (eBook, ePUB)
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> 90%) of patients with dermatitis herpetiformis also have gluten-sensitive enteropathy. Gastrointestinal symptoms can be mild to severe; some patients stay symptom-free. Around 1525% of celiac patients have concomittent dermatitis herpetiformis. These patients are likely to have a more severe intestinal pathology compared to those with mainly dermatitis herpetiformis. Symptoms are: 1. Extremely itchy bumps or blisters, most often on the elbows, knees, back, and buttocks. 2. Rashes that are normally the same size and shape on both sides. The rash can similar to eczema. 3. Scratch marks and ski...
> 90%) of patients with dermatitis herpetiformis also have gluten-sensitive enteropathy. Gastrointestinal symptoms can be mild to severe; some patients stay symptom-free. Around 1525% of celiac patients have concomittent dermatitis herpetiformis. These patients are likely to have a more severe intestinal pathology compared to those with mainly dermatitis herpetiformis. Symptoms are: 1. Extremely itchy bumps or blisters, most often on the elbows, knees, back, and buttocks. 2. Rashes that are normally the same size and shape on both sides. The rash can similar to eczema. 3. Scratch marks and skin erosions instead of blisters in some people. Most people with DH have injury to their intestines from eating gluten. Diagnosis In most cases, a skin biopsy and direct immunofluorescence test of the skin are performed. Skin biopsy is usually necessary to confirm dermatitis herpetiformis. Treatment Strict adherence to gluten-free diet reduces this rare but serious long-term complication Gluten-free diet for life is strongly recommended in patients with dermatitis herpetiformis, as it: 1. Reduces the requirement for medication to control dermatitis herpetiformis 2. Improves associated gluten-sensitive enteropathy 3. Enhances nutrition and bone density 4. May reduce the risk of developing other autoimmune conditions 5. May reduce the risk of intestinal lymphoma Dapsone is the treatment of choice for dermatitis herpetiformis, as it usually reduces itch within 3 days. If intolerant or allergic to dapsone, these may be useful: 1. Ultra-potent topical steroids 2. Systemic steroids 3. Sulfapyridine 4. Rituximab Immuno-suppressants are less effective. TABLE OF CONTENT Introduction Chapter 1 Dermatitis H...
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