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Archive for June, 2012

Atypical Symptoms of Celiac Disease: Dermatitis Herpetiformis

Sunday, June 24th, 2012

Dermatitis Herpetiformis is an itchy, bulbous skin rash that effect various areas of the body. The most prominent areas are the palms of the hand, legs and trunk areas. This skin rash is an autoimmune response of the body to the ingestion of gluten. Serologic tests will show IgA granulars deposits in the skin. While gastrointestinal responses may not be present at first a postive test for Dermatitis herpetiformis is a postive for Celiac Disease. After a time the intestine of the individual with this rash will show enteropathic damage. A postive for the test mandates a gluten-free diet. Most individuals will experience immediate results. However, if the individual decides not to follow the gluten-free diet and relies on medication (such as Dapsone) the intestinal damage will continue. I hope that family physicians in the United States will test for Dermatitis Herpetiformis when a patient complains about bulbous, itchy skins rashes.

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