Dermatitis herpetiformis, also known as the disease Duhring or dermatitis herpetiformis celiac is an autoimmune disease that causes the formation of small bubbles on skin that itch, similar to the injuries caused by the herpes.
Although this disease can appear in any person, it is more common in those who suffer with celiac disease, since it seems to be related to gluten sensitivity.
Dermatitis herpetiformis has no cure, but treatment with a gluten-free diet and the use of antibiotic, in the most serious cases, to help relieve the symptoms, allowing you to have a better quality of life.
The main symptoms
The characteristic symptoms of dermatitis herpetiformis include:
- Red license plates with peeling;
- Small blisters that itch a lot;
- Blisters that burst easily when scratching;
- Burning sensation in the affected regions.
In addition, it is also very frequent appearance of wounds on back of the bubbles, which arise due to scratching and rubbing the skin with a lot of intensity.
The regions most commonly affected are the scalp, the buttocks, the elbows, the knees and the back and usually appear symmetrically, that is, appears in both elbows or both knees, for example.
What causes dermatitis herpetiformis
The possible cause of dermatitis herpetiformis is the gluten intolerance, since this substance activates the immune system, giving rise to the formation of immunoglobulin A, a substance that leads the body to attack the cells of the intestine and of the skin.
Although it seems to be caused by gluten, there are many cases of people with dermatitis herpetiformis who do not exhibit any symptom of intestinal intolerance to gluten and, therefore, the cause has not yet been fully defined.
How is it treated
The form of treatment used to combat dermatitis herpetiformis consists of a gluten-free diet, and one should therefore eliminate wheat, barley and oats in the feed. Check out more guidelines on how to remove the gluten from the diet.
However, as the diet takes some time to take effect, the dermatologist can also indicate the use of an antibiotic in tablets, known as Dapsone, which relieves the symptoms in 1 to 2 days. Can cause several side effects, such as diarrhea, nausea, and even anemia, Dapsone the dose of Dapsone should be decreased over time until you find the minimum dose capable of relieving the symptoms.
In case there is allergy to Dapsone, the dermatologist may prescribe the use of ointments with corticoids or the use of other antibiotics, such as sulfapyridine or Rituximab, for example.
How to confirm the diagnosis
The diagnosis is usually made with a biopsy of the affected skin, in which the doctor removes a small piece of skin that will be evaluated in the laboratory to assess whether there is the presence of immunoglobulin on The spot.