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

DH flare ups


Crystal Nash

Recommended Posts

Crystal Nash Newbie

Hi all,

I was diagnosed with DH 10 months ago after living on predinzone and a zillion RX derm prescribed creams for years. I had some biopsies on my face, yes my face, to get the golden seal diagnosis.

It has been getting worse every year, at one point the rheumatologist thought I had systemic lupus. My face, neck, shoulders were covered in clear fluid filled blisters. They itch and burn, wearing anything with a tag or band sent me into a freak out. And I honestly look like a meth addict. My sister called me Methyl Ethyl. I wouldn't go out, I would get dressed to take my kids to school and go home and put on a robe.

After switching , or trying to a gluten-free diet, my symptoms cleared up quickly (dapsone cream helped a bit). But I am getting flare ups that I just can't figure out.

Does anyone know the time frame in which ingesting something contaminated causes the reaction?

I'm sitting here typing as my face is on fire and it's all I can do to not try my skin right off. Not even exaggerating a bit. I might very well do it.

Do we become more sensitive as our bodies clear gluten?

I am seriously losing my you know what here.

help please!!!!


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



GFinDC Veteran

It seems like people take dapsone for DH.  Also, they avoid foods with iodine while having a flare.

cyclinglady Grand Master

Search out SquirmingItch’s posts often found in the DH section. She has found, like many others with DH, that a gluten-free diet with a lot less processed foods has helped.  In fact, she went on the Fasano diet which was designed for those celiac who are non-responsive to the normal gluten-free diet.  Maybe 20 ppm might be too much for some celiacs, some celiac can not do oats (even pure, grown in Dedicated field oats) or maybe eating out is too risky.  Who knows?  Not much research has been done on celiacs after we have been diagnosed.  

Here is the diet.  This diet might not be for life, but a few months may resolve your current flare-up.  I even went on it last year, but it turned out that I had another AI issue and that my celiac disease was in remission (per endoscopy).  I can say that I am pretty much grain free and I feel much better for it.  Maybe it is because it makes me avoid processed foods, maybe I am super sensitive but does it matter?  Feeling good is the goal!  

Open Original Shared Link

Jane Anderson who writes for Verywell has some excellent celiac disease advice and she has DH too.  So she is very cautious.  Not maybe necessary for a “regular” celiac, but for a sensitive or one with DH, maybe not too cautious.  

Finally, maybe you need to have the house go gluten free or do some retraining on keeping safe zones.  My house is gluten free.  My kid eats gluten at school or while she is away from home.  When she was smaller and it was my hubby who was gluten free and I was not yet diagnosed, I made her only eat in the kitchen, we washed her hands after consuming gluten, and I did not let her cook or prepare meals with gluten).  I realize that this can be drastic, but Jebby, another member who is a PED preemie Doctor made her family go gluten free.  She was getting glutened from her babies.  (Search her posts).  Adorable slobbery babies can get ya!  

I hope you feel better fast! 

 

  • 3 weeks later...
disgruntledceliac Explorer

I have had a similar experience. Diagnosed with celiac/DH for over two years ago, but despite going gluten free I continued to have DH issues. I figured it would go away with time, but it didn't.

Two months ago I started the Fasano diet. No DH flare-ups since then. I feel much better ... for the first time in years I'm feeling optimistic about things.

The Fasano diet isn't the easiest thing in the world, as it requires dedication. Your food choices will be limited. But it is entirely worth it. They say after 3-6 months most people can go back to a normal gluten free diet, as the stomach will be healed. I'm looking forward to that! In the meantime I'm enjoying not having DH for the first time in a decade, and my energy level has gone up noticeably.

Also remember that you must avoid cross-contimination at all times. I have my own mini-fridge as well as a small convection/toaster oven to achieve this. Again, it is a little inconvenient at first, but I can assure you that it is worth it when you stop getting DH.

Best of luck, and let me know if you have any questions!

Archived

This topic is now archived and is closed to further replies.


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      128,254
    • Most Online (within 30 mins)
      7,748

    brigette
    Newest Member
    brigette
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121.1k
    • Total Posts
      70.8k

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • MI-Hoosier
      Thanks again. My mom was diagnosed over 50 years ago with celiac so grew up watching her deal with the challenges of food. I have been tested a few times prior due to this but these results have me a bit stunned. I have a liver disease that has advanced rapidly with no symptoms and an allergy that could be a contributing factor that had no symptoms. I guess I’ll call it lucky my Dr ordered a rescreen of a liver ultrasound from 5 years ago that triggered this or I would likely have tripped into cirrhosis. It’s all pretty jarring.
    • Heather Hill
      Many thanks for your responses, much appreciated.  The tests did include tTg IgA and all the other markers mentioned.  I also had sufficient total IgA so if I'm reading the Mayo clinic thing correctly, I didn't really need the anti-deaminated gliadin marker? So, if I am reading the information correctly do I conclude that as all the other markers including tTg IgA and DGP IgG and tTg IgG and EMA IgA are all negative, then the positive result for the immune response to gliadin, on it's own, is more likely to suggest some other problem in the gut rather than Coeliac disease? Until I have a view from the medics (NHS UK) then I think I will concentrate on trying to lower chronic inflammation and mend leaky gut, using L glutamine and maybe collagen powder. Thank you for your help so far.  I will get back in touch once I have a response, which sadly can take quite a long time.   Kindest Heather Hill 
    • trents
      To put this in perspective, most recent pretest "gluten challenge" guidelines for those having already been eating reduced gluten or gluten free for a significant time period is the daily consumption of 10g of gluten (about the amount in 4-6 slices of wheat bread) for a minimum of two weeks leading up to the day of testing (antibody or biopsy). And I would certainly give it more than two weeks to ensure a valid test experience. Short answer: If it were me, yes, I would assume I have celiac disease and launch full bore into gluten-free eating. I think the tTG-IGA is reliable enough and your score is solid enough to make that a reasonable conclusion. Here is an article to help you get off to a good start. It's easy to achieve a reduced gluten free state but much more difficult to achieve consistency in truly gluten-free eating. Gluten is hidden in so many ways and found in so many food products where you would never expect to find it. For example, soy sauce and canned tomato soup (most canned soups, actually), pills, medications, health supplements. It can be disguised in terminology. And then there is the whole issue of cross contamination where foods that are naturally gluten free become contaminated with gluten incidentally in agricultural activities and manufacturing processes: Eating out at restaurants is a mine field for those with celiac disease because you don't know how food is handled back in the kitchen. Gluten free noodles boiled in the same water that was used for wheat noodles, eggs cooked on the same griddle that French toast was, etc.  
    • MI-Hoosier
      Thank you for the response and article. I was placed on the Mediterranean diet and been on that now for about 3 weeks. While not gluten free I am eating very little bread or anything with gluten ie a slice of whole wheat bread every couple days so assume that would cause issues now with a biopsy.  With the condition my liver is in I am unsure moving back to higher bread consumption is ideal.  In this scenario would my test results be enough to assume positive Celiac and just move forward gluten free?
    • trents
      Welcome to the forum, @MI-Hoosier! You are operating on a misconception about your "mixed" test results. You only had two celiac disease diagnostic tests run out of six that could have been ordered if your doctor had opted for a complete celiac panel. It is perfectly normal to not test positive for all possible celiac disease diagnostic tests. That is why there is more than one test option. It is the same way with other diagnostic testing procedures for many or most other diseases. Generally, when diagnosing a condition, a number of different tests are run and a diagnosis is arrived at by looking at the total body of evidence. The tTG-IGA test is the centerpiece of celiac disease blood antibody testing and the one most commonly ordered by doctors. You were strongly positive for that test. It was not an unequivocal result, IMO.  Having said that, it is standard procedure to confirm a positive celiac disease blood antibody test result with an endoscopy/biopsy which is still considered the gold standard of celiac disease diagnosis. Had your tTG-IGA been 150 or greater, your doctor many have opted out of the endoscopy/biopsy. The absence of GI distress in the celiac disease population is very common. We call them "silent celiacs". That can change as damage to the lining of the small bowel worsens. Elevated liver enzymes/liver stress is very common in the celiac population. About 18% of celiacs experience it. I was one of them. Persistently elevated liver enzymes over a period of years in the absence of other typical causes such as hepatitis and alcohol abuse was what eventually led to my celiac disease diagnosis. But it took thirteen years to get that figured out. Within three months of going gluten free my liver enzymes were back into normal range. Thank goodness, there is more awareness these days about the many long fingers of celiac disease that are not found in the classic category of GI distress. Today, there have been over 200 symptoms/medical conditions identified as connected to celiac disease. It is critical that you not begin a gluten free diet until your endoscopy/biopsy of the small bowel is over. Doing so before that procedure will invalidate it because it will allow healing of the small bowel lining to begin. Here is a link to an article covering celiac disease blood antibody testing:  
×
×
  • Create New...