Jump to content
This site uses cookies. Continued use is acceptance of our Terms of Use and Privacy Policy. More Info... ×
  • 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
  • Jefferson Adams
    Jefferson Adams

    How Common is Dermatitis Herpetiformis in Celiac Disease Patients?

    Reviewed and edited by a celiac disease expert.

    One positive finding is that Dermatitis herpetiformis patients who are on a gluten-free diet face an excellent long-term outlook, with an even lower mortality rate than the general population.

    How Common is Dermatitis Herpetiformis in Celiac Disease Patients? - Image: Photobucket--janerane
    Caption: Image: Photobucket--janerane

    Celiac.com 11/07/2018 - A team of researchers recently set out to explore the relationship between dermatitis herpetiformis, as a common extraintestinal manifestation of celiac disease, and a gluten-free diet as a path to overall dermatitis herpetiformis improvement.

    The research team included Timo Reunala, Teea T. Salmi, Kaisa Hervonen, Katri Kaukinen and Pekka Collin. They are variously affiliated with the Celiac Disease Research Center, Faculty of Medicine and Life Sciences at the University of Tampere, the Department of Dermatology, Tampere University Hospital, the Department of Internal Medicine, Tampere University Hospital, and with the Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital in Tampere, Finland.

    Celiac.com Sponsor (A12):
    Dermatitis herpetiformis is a condition marked by itchy papules and vesicles on the elbows, knees, and buttocks. Dermatitis herpetiformis is a common in people with celiac disease.

    People who have just dermatitis herpetiformis alone rarely have obvious gastrointestinal symptoms. Dermatitis herpetiformis is easily diagnosed by immunofluorescence biopsy showing pathognomonic granular immunoglobulin A (IgA) deposits in the papillary dermis. 

    One theory currently in play is that dermatitis herpetiformis is triggered by celiac disease in the gut and eventually develops into an immune complex deposition of high avidity IgA epidermal transglutaminase (TG3) antibodies, together with the TG3 enzyme, in the papillary dermis. 

    The age at which people are diagnosed with dermatitis herpetiformis has risen steeply in recent decades to the current average of 40–50 years. 

    The researchers found that the ratio of dermatitis herpetiformis to celiac disease is 1:8 in Finland and the United Kingdom (U.K.). Additionally, the incident rates of dermatitis herpetiformis are currently 2.7 per 100,000 in Finland and 0.8 per 100,000 in the U.K., is decreasing, whereas incidents of celiac disease are on the rise. 

    One positive finding is that Dermatitis herpetiformis patients who are on a gluten-free diet face an excellent long-term outlook, with an even lower mortality rate than the general population.

    Read more in: Nutrients 2018, 10(5), 602; doi:10.3390/nu10050602



    User Feedback

    Recommended Comments

    mmcauntie

    I had DH for about 7 years before someone figured out it was related to celiac disease. Currently have it on both elbows and scalp. Thank God I have thick dark hair! Disgusting.

    Link to comment
    Share on other sites
    Alex the rash

    My gut is as good as ever.eating well.no weight gain though..rash always causes edema.that is a problem. Skin gets tight on feet and calves. Stretches the skin rash and thats real pain and very depressing. Usually all goes away in five days if im careful.. Perhaps its ginger tea looking after gut? 3+ mugs a day. Love it...

    Link to comment
    Share on other sites
    CATRYNA
    On 11/7/2018 at 3:38 PM, mmcauntie said:

    I had DH for about 7 years before someone figured out it was related to celiac disease. Currently have it on both elbows and scalp. Thank God I have thick dark hair! Disgusting.

    I, too, had DH for many years before I was diagnosed with Celiac and then it was another 7 years before I figured out the itchy blisters on my scalp were not ingrown hairs, but DH. I had to change all of my topicals; shampoo and conditioner because they had ingredients that were causing the problem and also I found that Iodine greatly compounded the problem from just my scalp to my back, arms and chest. Here is a list of some of the ingredients;

    Avena sativa (oats)

    Beta glucan (frequently derived from wheat)

    Colloidal oatmeal

    Dextrin palmitate (starch, possibly gluten-based)

    Vitamin E (frequently derived from wheat)

    Hordeum vulgare (barley)

    Hydrolyzed vegetable protein (may contain wheat)

    Hydrolyzed wheat protein

    Laurdimonium hydroxypropyl (hydrolyzed wheat protein)

    Malt extract (usually barley)

    Secale cereale (rye)

    Stearyl dimonium hydroxypropyl (hydrolyzed wheat protein)

    Triticum vulgare (wheat)

    Vegetable protein (may contain wheat, barley, rye and/or oats)

    Wheat germ oil

    I am now grain free and things are much better. But, being in a household of 7, with 2 of us being Celiac does have its challenges.

    Edited by CATRYNA
    Link to comment
    Share on other sites
    Sue7171

    I have celiac and dh have been gluten-free since 2008. Also celiac is on both sides of my family.  I had horrible dh all my life...I remember being 3 and eating white bread and breaking out. I'm 47 now. It wasn't until I went totally gluten-free with all my personal care products that I beat DH. I know people say if you don't eat it that it doesn't matter but I totally use gluten free shampoo conditioner makeup lotion soap...everything....no more DH

    Hope that helps

    My dad had bad DH too and did the same thing

    Link to comment
    Share on other sites
    Guest Laura

    On this issue, statistics are mostly meaningless to me.  I've coded this diagnosis for dozens of children since the 2000's.  In an attempt to feed the nations thru grain hybridization, the end result has been human pain and injured lives.

    Link to comment
    Share on other sites


    Create an account or sign in to comment

    You need to be a member in order to leave a comment

    Create an account

    Sign up for a new account in our community. It's easy!

    Register a new account

    Sign in

    Already have an account? Sign in here.

    Sign In Now

  • Get Celiac.com Updates:
    Support Celiac.com:
    Donate
  • About Me

    Jefferson Adams

    Jefferson Adams is Celiac.com's senior writer and Digital Content Director. He earned his B.A. and M.F.A. at Arizona State University. His articles, essays, poems, stories and book reviews have appeared in numerous magazines, journals, and websites, including North American Project, Antioch Review, Caliban, Mississippi Review, Slate, and more. He is the author of more than 2,500 articles on celiac disease. His university coursework includes studies in science, scientific methodology, biology, anatomy, physiology, medicine, logic, and advanced research. He previously devised health and medical content for Colgate, Dove, Pfizer, Sharecare, Walgreens, and more. Jefferson has spoken about celiac disease to the media, including an appearance on the KQED radio show Forum, and is the editor of numerous books, including "Cereal Killers" by Scott Adams and Ron Hoggan, Ed.D.

    >VIEW ALL ARTICLES BY JEFFERSON ADAMS

     


  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Related Articles

    Jefferson Adams
    Can Dermatitis Herpetiformis Trigger Bone Loss Like Celiac Disease Does?
    Celiac.com 08/26/2013 - Celiac disease and its cutaneous manifestation, dermatitis herpetiformis are both disease marked by sensitivity to gluten. Metabolic bone disease is common among in people with celiac disease, but there isn't much data on rates of bone density in patients with dermatitis herpetiformis.
    A team of researchers recently set out to determine if dermatitis herpetiformis triggers bone loss, as does celiac disease.
    The research team included K. Lorinczy, M. Juhász, A. Csontos, B. Fekete, O. Terjék, P.L. Lakatos, P. Miheller, D. Kocsis, S. Kárpáti, Tulassay Z, Zágoni T.
    For their study, the team wanted to compare bone mineral density (BMD) of celiac and dermatitis herpetiformis patients.
    The study group included 34 celiac patients, 53 with derm...


    Jean Duane PhD
    Living with Dermatitis Herpetiformis
    Celiac.com 09/13/2016 - Six times from 2003 – 2005, I had a mysterious full-bodied, itchy, blistery rash that landed me in the emergency room the first time, where seven doctors shook their heads. The ER physicians agreed that it was a "systemic chemical reaction" and tried to identify what I could have been exposed to. A dairy allergy was ruled out immediately since I have been completely dairy-free for twenty years. For the next three years, between hiding from the world for the ten days of intense itching and for the six weeks it took my skin to heal after an outbreak, I saw numerous dermatologists, internists, gastroenterologists, allergists and chiropractors. No one could figure out what was causing this miserable rash.
    I finally met the "best diagnostician" according to Denver's...


    Jefferson Adams
    Guts of Patients with Refractory Dermatitis Herpetiformis Respond to Gluten-free Diet
    Celiac.com 02/09/2017 - Dermatitis herpetiformis is a skin disease that causes blistering, and is understood to be an external symptom of celiac disease. Refractory celiac disease, which does not respond to a gluten-free diet and which carries an increased risk of lymphoma, is well-known to clinicians and researchers.
    A team of researchers recently set out to determine if there were any cases of refractory dermatitis herpetiformis with active rash and persistent small bowel atrophy that do not respond to a gluten-free diet. The research team included K Hervonen, TT Salmi, T Ilus, K Paasikivi, M Vornanen, K Laurila, K Lindfors, K Viiri, P Saavalainen, P Collin, K Kaukinen, and T Reunala. They are affiliated with the Department of Dermatology, Tampere University Hospital and University...


    Jefferson Adams
    Can Rituximab Treat Recurrent Dermatitis Herpetiformis?
    Celiac.com 03/06/2017 - Dermatitis herpetiformis is an autoimmune skin-blistering disease which is commonly associated with celiac disease. The most common treatments are a gluten-free diet along with the addition of dapsone. DH that does not respond to either a gluten-free diet, or to dapsone, is treated with other immune-suppressing medications, but results have been mixed.
    Now, for the first time, a patient treated with rituximab therapy had resolution of both his pruritus and skin rash. "In addition, the levels of both anti-tissue and anti-epidermal transglutaminase antibodies normalized," said Dr. Ron Feldman of Emory University School of Medicine.
    Writing in JAMA Dermatology, Dr. Feldman and colleagues describe a man in his 80's with a five-year history of worsening DH. He was...


  • Recent Activity

    1. - aperlo34 replied to aperlo34's topic in Related Issues & Disorders
      13

      Eye irritation 2.5 months into gluten free diet

    2. - knitty kitty replied to aperlo34's topic in Related Issues & Disorders
      13

      Eye irritation 2.5 months into gluten free diet

    3. - aperlo34 replied to aperlo34's topic in Related Issues & Disorders
      13

      Eye irritation 2.5 months into gluten free diet

    4. - knitty kitty replied to aperlo34's topic in Related Issues & Disorders
      13

      Eye irritation 2.5 months into gluten free diet


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      126,763
    • Most Online (within 30 mins)
      7,748

    Dr jac
    Newest Member
    Dr jac
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      120.9k
    • Total Posts
      69.6k

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Popular Now

    • DayaInTheSun
    • ABP2025
    • cvernon
      10
    • Travel Celiac
    • aperlo34
  • Popular Articles

    • Scott Adams
    • Scott Adams
    • Scott Adams
    • Scott Adams
    • Scott Adams
  • Upcoming Events

×
×
  • Create New...