Dermatitis herpetiformis is one of the most common dermatologic manifestations in celiac patients because it is an autoimmune disease that arises in response to gluten intolerance . “By definition, it is linked to celiac disease, may be the first symptom or appear later , ” says Rosa Taberner, a dermatologist at the Son Llàtzer Hospital in Palma de Mallorca. This type of dermatitis may be key in the diagnosis of patients in whom poor absorption of gluten does not cause other problems.
SYMPTOMS AND PREVALENCE
This pathology is characterized by the occurrence of rashes : “We can see very variable lesions as papules and reddish plaques, sometimes with vesicles and blisters” Taberner explained. These manifestations occur, especially in elbows, knees, neck, buttocks and scalp.
The intense itching is another symptom and in these patients is distinguished not improve with standard treatments such as antihistamines or corticosteroids. “This itching can become unbearable and, as a result of scratching, scabs and pigmentation changes occur , ” he says.
According to the Guide Dermatitis herpetiformis. Pathogenesis, diagnosis and treatment , the Hospital Clinic of Barcelona, the prevalence is higher in adult males while in childhood affects girls. “The typical age of onset of dermatitis herpetiformis is between 30 and 40 years, although increasingly more cases described in children , ” qualifies Taberner.
To prevent this the only option is to have a gluten – free diet in the case of people already diagnosed. “This reduces the risk dramatically, otherwise, is not something that can be prevented , ” he says.
Other diseases associated with celiac disease
This expert indicates that other dermatological conditions affecting most of these patients, like atopic dermatitis, chronic urticaria, psoriasis, vasculitis, alopecia areata and mouth ulcers .
Generally the best way to care for the skin of a celiac patient watch his diet: “From there, depending on whether or not present any dermatological problem, will be treated accordingly,” he insists.
From the pharmacy specialist warns that it is important to meet their needs for hydration and protection, advising the moisturizers and emollients most appropriate in each case.