Does this look like DH?

[RobinJ2780]

Hello,

i have a terrible itchy rash on my left elbow and right hand that make me wonder if they could be DH. I did a celiac panel several months ago that came back negative. I have other autoimmune problems (thyroid, ITP, daily history of lupus and get achey joints). Does this look like it could be DH?

 

[cyclinglady]

Sorry, I can not open your file.  DH mimics so many rashes.  The only way to know for sure is a skin biopsy done by a Dermatologist who is hopefully celiac savvy.  

Open Original Shared Link

 

[Posterboy]

Robin,

They can be connected diseases.

Here is a good article about their connection.

Open Original Shared Link

They have a separate break out paragraph on the celiac and SLE connection(s).

quoting

Celiac disease

"The coexistence of SLE and celiac disease is rare. So far, only 17 cases have been reported in the literature. Both diseases have an autoimmune nature and share HLA-B8 and HLA-DR3 histocompatibility antigens[Open Original Shared Link]. Celiac disease can occur before or after the diagnosis of lupus[Open Original Shared Link]. Most patients have positive serum antigliadin antibodies and histological findings of duodenal biopsy which are consonant with celiac disease."

Though they call it rare . . . .it is mainly because no body is looking for the connections. 17 different case (etal &etc.)showing common origination but they are distinctly different diagnoses.  Stop the madness!  Admit they are connected and find the common cause to treat the underlying cause!

quoting again for emphasis in Lupus patients they readily admit

"Most patients have positive serum antigliadin antibodies and histological findings of duodenal biopsy which are consonant with celiac disease."

medicine want's distinctly defined conditions .... but co-morbidity is more common than we often like to admit.

at least on researcher admitted their mistake.  It just took years to correct.

see this link entitled "Coeliac disease in systemic lupus erythematosus: a case report"

Open Original Shared Link

quoting their quality research/abstract on this topic.

"The case of a rare coexistence of systemic lupus erythematosus (SLE) with coeliac disease (celiac disease) is described. Systemic lupus erythematosus was diagnosed prior to celiac disease and initially SLE treatment was administered. After several years, when celiac disease symptoms developed, the diagnosis was corrected and additional treatment with a gluten-free diet was applied with beneficial effects."

also see this article on celiac/gluten connection in IBS.

https://www.celiac.com/celiac-disease/large-number-of-irritable-bowel-syndrome-patients-sensitive-to-gluten-r3442/

quoting

"Nearly 84% of the gluten-free placebo group showed a significant improvement in symptoms compared to just under 26% for the gluten consuming group (p < 0.001)." but essentially the IBS diagnosis was retained and not NCGS which is probably the better diagnosis.

I found treating my low stomach acid being misdiangosed helped many of GI problems the same was NCGS is being diagnosed as IBS in 84% of the cases.

see my blog post about the connection to low stomach acid in NCGS or undiagnosed Celaics.

https://www.celiac.com/blogs/entry/2106-is-ncgs-andor-celiac-disease-really-low-stomach-acid-misdiagnosed/

Low stomach acid or Gastroparesis is also common or at least associated with your Lupus as well.

See this research entitled "Gastroparesis in Systemic Lupus Erythematosus: A Case Report"

Open Original Shared Link

Gastritis commonly caused by low stomach acid is also common in thyroid patients commonly underdiagnosed/or over loooked because co-morbidity is not well accepted in medical science.

see this link Open Original Shared Link entitled "Atrophic Body Gastritis in Patients With Autoimmune Thyroid Disease An Underdiagnosed Association"

these connections are common . . . .but not commonly diagnosed (together) because that would be too messy or at least an admittance they don't know which it is . . . the chicken or the egg?

Did your Celiac or Lupus come first????? I don't know but you can find out if they are are related by going gluten free!

Or try treating your low stomach acid undiagnosed to see if it helps both these conditions.  Because both are associated with low stomach acid. . . but the connection/association is not often made.

see this post on Extreme bloating and see how treating her gastroparesis  (GERD, nausea etc.) helped many of  her (Brandi1969s) GI problems because the stomach comes before the small intestine in the GI tract and it first should be ruled out as a cause of your lower GI problems because digestion is a north south process.

https://www.celiac.com/forums/topic/122303-extreme-bloat-help/

or see this thread for more information on the possible link between your GI problems and your many autoimmune conditions including gastritis.

https://www.celiac.com/forums/topic/122641-gluten-sensitivity-and-gastritis-maybe/?tab=comments#comment-996653

I hope this is helpful but it is not medical advice.

I must stop for now but your rash is common in both diseases . . .now you must decide which one is the chicken or the egg?

For me it helped me to treat my stomach issues first (t)hen see if my lower GI symptom's didn't also improve.

Good luck on your continued journey.

As always "Consider what I say; and the Lord give thee understanding in all things."  2 Timothy 2:7

Posterboy by the Grace of God,