Dermatitis herpetiformis (Duhring dermatitis, priruginoznaya pemphigus, bullous dermatitis, polymorphic) - an inflammatory disease of the oral mucosa and skin. This skin lesions related to chronic dermatosis of unknown etiology. Dermatitis herpetiformis Duhring often develops in patients aged 20-45 years, and women suffer twice as likely men.
This skin disease was first described by American dermatologist L. Dühring. After him, many scientists have investigated this disease, but the cause of it is still unknown. In various scientific studies have not been established any viral or bacterial specific factor dermatitis herpetiformis. Some scientists have linked the disease with endocrine disorders and hereditary disorders. Other researchers spoke about the nature of the allergic dermatitis herpetiformis, as the disease occurs on the background of malabsorption in the intestine and increased sensitivity of patients to drugs containing iodine in its composition.
Symptoms and dermatitis herpetiformis Duhring for
For polymorphic bullous dermatitis is characterized by paroxysmal appearance of the skin and mucous membranes of the human body polymorphic itchy rash in the form of papules, spots, bubbles, urticaria elements blisters. The blisters resemble a rash of blisters formed in the sting. Bubbles form may be sluggish, and dense. Content bubbles can be cloudy, clear or hemorrhagic. When the bubbles burst, they dry up and form a honey-yellow or bloody lumps under which subsequently occurs epithelialization. With their healing on the skin pigmentation remains. The papules are usually presented pryschevidnoy bubbles form. All the elements are grouped into half rings rash, rings and garlands.
For all forms of dermatitis herpetiformis Duhring characterized by a burning sensation and itching at the site of skin lesions. The spots resemble semi-circles, rings and circles with jagged edges. When the disease is most often a rash appears on the smooth surface of the shoulders, arms, thighs and buttocks, sacral and scapular region, on the scalp of the head, the neck and the face (on the border of hair growth). Indigestion due to increased sensitivity to gluten (vegetable protein cereal) occurs in nine out of ten patients. Itching, burning and tingling of the seemingly intact skin usually occurs 10-12 hours before signs of a rash.
In children, a rash while dermatitis herpetiformis is usually represented by a single element, often bubbles. In selected patients with skin rash rash and erosion in the form of bubbles on the oral mucosa.
In the absence of proper treatment for dermatitis herpetiformis can be stretched for many years. The disease periodically becomes aggravated, but may disappear forever. Cases where the disease goes away, after many years since its inception.
In severe dermatitis herpetiformis patient's health may undermine the complications arising in the background of the long digestive disorders.
Diagnosis and treatment of dermatitis herpetiformis
At home, you can diagnose the disease using the iodine test. To prepare the two-percent solution of potassium iodide should be added to a glass of water half a teaspoon of potassium iodide. Then you drink just three tablespoons of the prepared solution.
It is also possible to prepare the ointment from one part of vaseline and one part of potassium iodide. The resulting ointment should apply a compress to the skin for a short time in the area of one of the foci. The emergence of new elements rash is a reaction of the human body for iodine.
The true cause of the skin rash may set a dermatologist. Dermatologist will diagnose the results of histological examination of tissue.
The main remedy for dermatitis herpetiformis are medicines that contain sulfur in its composition (sulfonamides and sulfones). As preparations for external use are usually appointed agents with corticosteroids and tar in the composition.
When digestive doctor usually recommends the gluten-free diet with the exception of oats, rye, wheat, barley, millet and other cereals, as well as food products, which is composed of iodine. When added to the diet of rice, corn, potatoes and wheat during the month of impaired digestive function is usually restored.
At home, the further you can use various ways to enhance the body's defenses. The strengthening therapy can include regular exercise, vitamin complexes and various energy supplements. To remove the inflammation in dermatitis herpetiformis Duhring lesions may be treated with the powder of any sulfa drug for 10-14 days.