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Dermatitis herpetiformis symptoms include itching and red rash-like blisters on the skin, most often on the outside of a joint. These itchy bumps are filled with clear fluid and sometimes have purple marks on their surface that last for weeks or months.
The rash usually starts within a few days of eating foods that contain gluten, which is a protein found in wheat, barley and rye. The immune system reacts to gluten, which triggers an inflammatory response.
A rash in the skin is one of the most common signs of celiac disease and autoimmune disorders. It can be itchy and painful, and may affect other parts of the body too.
DH and celiac disease are often linked, so if you have these symptoms, you should get tested for both conditions. Depending on the test results, your doctor may recommend a gluten-free diet or a gluten-free plan for treatment.
Your doctor may also want to check for other autoimmune diseases, such as small-bowel lymphoma. They may also do a biopsy of your stomach or small intestine to look for changes that can help diagnose dermatitis herpetiformis and celiac disease.
Bumps and blisters are the hallmark of dermatitis herpetiformis, and they typically appear on the outside of a joint such as the knees or elbows. They may be small or large and can itch and burn.
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These itchy rashes can spread to other areas of the body and can be accompanied by other symptoms, such as stomach pain, bloating, diarrhea and constipation. They can cause itching, discomfort and even difficulty sleeping.
It can be hard to live with dermatitis herpetiformis, especially if it comes and goes. It can feel frustrating and embarrassing to have a rash that is so visible.
There are a few different treatments for this condition, but the most effective is to avoid food that contains gluten. If you are able to stick to this plan, it is the best way to treat dermatitis herpetiformis.
Dapsone is the most commonly used medication for dermatitis herpetiformis, but you may be given other medications that reduce itching and rash symptoms. These drugs include sulfapyridine and sulfasalazine. These medicines are less effective than dapsone but may help to ease the itching and rash.
You should take your medicines as prescribed and follow the gluten-free diet to be dermatitis herpetiformis-free. This may be difficult if you have a family history of celiac disease, so talk to your doctor about a possible gluten-free plan that will work for you.
If your dermatitis herpetiformis gets worse, you can try taking a medicine called terbinafine. This drug reduces itching, rash, and redness within a few hours. It is safe to use once or twice a day, but you should only take it when needed.
Your doctor will monitor you closely while you take the medication and have regular blood tests to see how well you are doing. If you have a problem, they can stop the medicine or reduce your dosage.