Microdermabrasion Prince Albert - The condition of Dermatitis Herpetiformis is a chronic skin condition characterized by blisters filled with a watery fluid. It is also referred to as DH or Duhring's Disease. The name implies the meaning in that it is a skin disease which has the specific appearance like herpes, however, the condition is not related to or caused by the herpes virus. DH was initially described during the year 1884 by Dr. Louis Duhring, hence the name. In the year 1867, a correlation between celiac disease or gluten intolerance and DH was recognized. In nearly all of cases, the age of onset is typically 15 to 40 years, though, DH could also have an effect on the elderly as well as children. Women and men are likewise affected. The prevalence of DH varies from 1 in 400 to 1 in 10,000.
Dermatitis Herpetiformis has a characteristic rash which contains chronic papulovesicular eruptions, that are extremely itchy. This kind of rash is normally distributed symmetrically on extensor surfaces like the elbows, knees, back of neck, buttocks and the back. The blisters can range from being up to 1 cm across to very small. Since this condition is really itch intensive, the need to scratch can be overwhelming. This can cause the person to truly scratch blisters off before they are able to be checked by a doctor of medicine. Intense burning sensations or intense itching are sometimes felt prior to blisters appearing in a specific place.
If not treated, the severity of DH can significantly vary sooner or later. Normally, the signs originally appear in the early years of adulthood, normally between 20 and 30 years old. The very first visible symptoms are the small papules or vesicles that resemble bumps or blisters. The first indications are intensive itching and burning. Generally, the first blisters appear on the shoulders, on the lower end of the spinal column, along the hairline and at times within the mouth. Rarely, does the rash happen on several mucous membranes other than the lips or the mouth. If gluten ingestion is prevented and the appropriate medication is provided, the indications usually disappear. In several cases, taking oral contraceptives could worsen the symptoms.
The signs of DH tend to come and go, in short periods of time, yet are always persistent. These signs could be accompanied by abdominal pain and fatigue and some signs of celiac disease.
The rash that is caused by DH forms and disappears in 3 stages. At first, the person can see a slight discoloration of the skin where the lesions appear. Next, the skin lesions transform into obvious papules and vesicles that are likely to occur in groups. The healing stage of the lesions is the last stage of development. Normally this set of symptoms is characterized by a skin color change. This may result in areas of the skin turning lighter or darker compared to the color of the skin somewhere else on the body. Due to the intense itching, people usually scratch which could result in the formation of crusts.
Click to Download the pdf