What else could this skin condition be?
What does a DH rash look like?
Dermatitis herpetiformis (DH) or Duhring’s disease looks similar to herpes lesion (a cluster of dew drops over skin) but is not caused by herpes virus. It is characterized by a cluster of red, itchy, bumpy skin rashes that may affect the elbows, knees, buttocks, lower back, and scalp.
How do you test for dermatitis herpetiformis?
How is dermatitis herpetiformis diagnosed? In addition to a health history and physical exam, DH is usually confirmed with a skin biopsy and a specialized type of immunofluorescent stain that helps to detect the IgA antibodies. You may also have blood tests to find certain antibodies.
Can dermatitis herpetiformis be misdiagnosed?
Dermatitis herpetiformis is frequently misdiagnosed as eczema, another inflammatory skin disorder. Both skin conditions manifest as a highly itchy and bumpy rash that people often scratch raw.
Where does dermatitis herpetiformis start?
Dermatitis herpetiformis (DH) is a rare, chronic, autoimmune skin condition characterized by the presence of groups of severely itchy blisters and raised red skin lesions. These are most commonly located on the elbows, knees, buttocks, lower back and scalp.
Is dermatitis herpetiformis always symmetrical?
Dermatitis herpetiformis frequently affects the knees and elbows—again, usually in a symmetrical fashion.
Can you suddenly develop dermatitis herpetiformis?
Dermatitis herpetiformis develops suddenly, lasts for weeks to months, and may be associated with digestive diseases such as celiac disease. Dermatitis herpetiformis is a chronic inflammatory disease that produces lesions that burn and itch intensely.
Can you have DH and not celiac?
The symptoms of dermatitis herpetiformis are extremely itchy and blistering skin. Sometimes referred to as gluten rash or celiac rash, DH is a chronic condition that is considered to be the skin form of celiac disease. Not all people with celiac disease develop DH.
Where does gluten rash appear?
Gluten rashes are blistery, pitted, or pustular and very itchy. A gluten rash on the elbows is common, and it also can appear on the knees, buttocks, back, or face, at the hairline. The rash is symmetrical, which means it occurs on both sides of the body at the same time.
How long after eating gluten does rash appear?
Symptoms related to a wheat allergy will usually begin within minutes of consuming the wheat. However, they can begin up to two hours after.
What are these clusters of blisters?
The blisters associated with dyshidrosis occur most commonly on the sides of the fingers and the palms. Sometimes the soles of the feet also can be affected. The blisters are usually small — about the width of a standard pencil lead — and grouped in clusters, with an appearance similar to tapioca.
Can Coeliacs be mild?
Symptoms of coeliac disease can range from mild to severe, and often come and go. Mild cases may not cause any noticeable symptoms, and the condition is often only detected during testing for another condition. Treatment is recommended even when symptoms are mild or non-existent, because complications can still occur.
Can an endoscopy detect gluten intolerance?
To confirm a celiac disease diagnosis, your doctor may recommend an upper gastrointestinal endoscopy. This procedure will allow your doctor to identify any inflammation or damage in your small intestines, which is a sure sign of celiac disease.