Dermatitis herpetiformis (DH) is an autoimmune blistering disorder associated with a gluten-sensitive enteropathy (GSE). The disease was described and named in 1984 by Dr. Louis Duhring at the University of Pennsylvania. It is characterized by grouped excoriations; erythematous, urticarial plaques; and papules with vesicles. These are located on the extensor surfaces of the elbows, knees, buttocks, and back. It is exquisitely pruritic, and the vesicles are often excoriated to erosions by the time of physical examination. Diagnosis requires direct immunofluorescence of a skin biopsy specimen showing deposition of immunoglobulin A (IgA) in a granular pattern in the upper papillary dermis. Although most patients are asymptomatic, more than 90% have an associated GSE upon endoscopic examination. Among patients with celiac disease, 15-25% develop DH. The mainstays of treatment are dapsone and a gluten-free diet. [1]
Dermatitis herpetiformis is an extremely itchy rash made of bumps and blisters. The rash is chronic, which means it continues over a long period of time.[2]
Diagnosis: A skin biopsy and direct immunofluorescence test of the skin are performed in most cases. Your doctor may also recommend a biopsy of the intestines. [2]
Treatment: Dapsone, an antibiotic, may help most patients. A strict gluten-free diet will also be recommended to help control the disease. Sticking to this diet may remove the need for medications and prevent later complications.[1]
Complications: Thyroid disease may be found in many patients with dermatitis herpetiformis. Patients are also more likely to develop certain cancers of the intestines.
This condition is listed as non-contagious, though it may depend on the source of the infection - and whether it truly is this condition, which is caused by neither herpes - nor dermatitis, but labelled by its similarity to these conditions.
What I am noticing - initial observations
What I am noticing. Psoriasis is associated to inflammation and also bears a connection with celiac disease. DH is associated with celiac. Psoriasis has a connection to maintaining blood sugar levels. Improperly maintained blood sugar levels may have a connection with Thyroid disease. Thyroid disease is associated with DH.
