Talk:Dermatitis herpetiformis

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Can someone put a quick etymology up? I'm no pro, but I'm guessing this means "inflammed skin that looks like herpes."

Contents

[edit] Pathophysiology

We should mention that TG3 is the autoantigen[1]. JFW | T@lk 10:38, 21 June 2006 (UTC)

And reduce the beer stuff to the necessary. JFW | T@lk 10:38, 21 June 2006 (UTC)

[edit] Redirect from Eczema Herpeticum

This is incorrect. The conditions are completely separate and distinct. Eczema herpeticum is a severe complication of eczema, when superinfection with Herpes Simplex occurs.

Images of Eczema Herpeticum

[edit] Overlap with Celiac Disease

Must both articles contain extensive discussion of communion being wheat bread?

Agreed - perhaps that topic can be spun off into its own article? Steve carlson 20:18, 10 June 2007 (UTC)

[edit] Thank you!

Many thanks to whoever wrote this page. I had a blistering skin condition that my doctor thought at first was an infection, then scabies, then an infection again. I was looking for info on the web and came here via dermatitis, and instantly recognised the symptoms - "Dermatitis herpetiformis is usually extremely itchy. The vesicles or papules usually appear on the elbows, knees, back, and buttocks. In most cases, it is highly symmetric. Symptoms of dermatitis herpetiformis tend to be sporadic." - yup, that's exactly what I had. A web search for images of "dermatitis herpetiformis" confirmed my suspicions. I had to wait for 9 weeks to see a dermatologist before the NHS confirmed what I already knew, and I could finally start on Dapsone. Occultations 11:28, 27 August 2006 (UTC)

[edit] Onset and consequences?

Does anyone know the average onset of symptoms after eating a gluten product? Secondly, what are the (long-term) consequences of continually eating gluten products, besides suffering with the itchy rashes? -- MacAddct1984  00:53, 2 October 2006 (UTC)

[edit] == This topic is balanced poorly ==

There is a huge section on beer and religious issues but practically no discussion of the mechanics of the disease.

Another article on the web states a much more complete view of the disease:

http://www.aocd.org/skin/dermatologic_diseases/dermatitis_herpeti.html

I am sorry but it looks to me (and no offense to the writer because I think the creation of these entries is a noble work) that the authour(s) didn't know a lot about how the disease works and instead wrote about the impact to their life/lives. Personally I don't care about beer or communion in the least and suspect a lot of DH sufferers would concur.

While going GF does have a huge impact on an individual's lifestyle I agree that the disease itself should be address more specifically... A link could easily be used to redirect to Celiac Disease if folks wanted to know more about GF Bread and Communion. Also one of the big DH questions that's not being address is, "If my skin care product (soap, shampoo, hairspray, etc.) has wheat/gluten in it, will it exacerbate my DH?" as well as "How long does it take for DH to clear up once I go GF?" --Fidissimus 04:33, 1 March 2007 (UTC)

Coeliac disease is now a featured article. The bloated topics above have been reduced to the minumum in that article. Surely a bit of work can improve the DH article as well. I disagree with Fidissimus that we should be a FAQ for DH patients. That is one thing an encyclopedia should not endeavour to be. JFW | T@lk 22:04, 26 March 2007 (UTC)

[edit] I vote against merging with Coeliac disease

If this page hadn't existed separately from Coeliac disease then I wouldn't have been able to work out what my blistering skin condition was. So please don't merge it. I don't actually know if I've got Coeliac disease, I've never had any gastrointestinal symptoms. Only about 1% of coeliacs get DH, and about 1% of people get Coeliac disease. So merging Dermatitis herpetiformis with Coeliac disease makes as much sense as merging Coeliac disease with illness. Occultations (talk) 23:46, 27 December 2007 (UTC)


DO NOT merge with celiac disease!!! I have DH and DO NOT have celiac; I am currently a patient enrolled in a clinical research protocol at the NIH. The NIH is trying to figure out WHERE the lesions come from and WHY. It is unclear at this point whether or not DH is an auto-immune disease.....I agree that the text should reflect that there has been VERY LITTLE clinical research on this awful DH. Further, I am a staph carrier and MRSA LOVES to colonize heavily on my skin, making this condition simply awful - the lesions become infected and ulcerated. Lovely. —Preceding unsigned comment added by MHTOLLEFSON (talk • contribs) 23:44, 11 March 2008 (UTC)


I completely agree with the others - even though both articles go into a long discussion of gluten intolerance, not all people who have Coeliac disease have DH and vice versa. A better alternative might be to spin off discussions on gluten-free diets into their own article that both coeliac and DH (or other pages) could link to. I found this page doing research on a friend's condition (who does NOT have coeliac disease symptoms) I might not have found it as easily.

[edit] Do not merge with Coeliac disease, seconded

I have fought with this disease for the past year without knowing what was wrong. My primary care physician treated me for scabies (never had it), various skin conditions and finally suggested a neurosis causing me to scratch! Just last week I went to a dermatologist on referral (required for insurance coverage) and found out I have Dermatitis herpetiformis. Until researching DH I had not heard of coeliac disease -- my Drs have not mentioned it to me at all! —Preceding unsigned comment added by 64.39.1.11 (talk) 21:34, 1 March 2008 (UTC)

[edit] Move some of this to Gluten-free diet

There are some comments above about "extensive discussion of communion being wheat bread" and "huge section on beer and religious issues". Those issues are nothing to do with Dermatitis herpetiformis as such, they are related to having to follow a gluten-free diet. They should therefore be moved/merged to Gluten-free diet. Occultations (talk) 15:25, 14 January 2008 (UTC)

[edit] Prognosis

Despite the link with gluten enteropathy, DH does not lead to small intestinal lymphoma, fracture and other typical coeliac complications: http://www.blackwell-synergy.com/doi/abs/10.1111/j.1365-2036.2008.03660.x JFW | T@lk 01:35, 28 February 2008 (UTC)