Microdermabrasion Bathhurst - The condition of Dermatitis Herpetiformis is a chronic skin condition characterized by blisters filled with a watery fluid. It is also known as DH or Duhring's Disease. The name implies the meaning in that it is a skin disease which has the certain appearance like herpes, however, the condition is not caused by or related to the herpes virus. DH was initially described in the year 1884 by Dr. Louis Duhring, hence the name. In 1867, a correlation between gluten intolerance or celiac disease and DH was recognized. In most of cases, the age of onset is typically 15 to 40 years, although, DH can also have an effect on the elderly as well as children. Women and men are equally affected. The prevalence of DH varies from 1 in 400 to 1 in 10,000.
DH has a characteristic rash which contains chronic papulovesicular eruptions and is extremely itchy. Normally, this rash is distributed symmetrically on extensor surfaces like for instance the knees, elbows, 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 very itch intensive, the desire to scratch can be overwhelming. This could cause the individual to actually scratch blisters off before they could be checked by a physician. Intense itching or intense burning sensation are occasionally felt prior to blisters appearing in a certain part.
The severity of Dermatitis Herpetiformis can vary over time if left untreated. Quite often, the first indications appear in early adulthood, between the ages of 20 and 30 years old. The first obvious indications are the small papules or vesicles that resemble blisters or bumps. The initial indications are intensive burning and itching. Generally, the first blisters appear on the lower end of the spinal column, on the shoulders, along the hairline and at times in the mouth. Rarely, does the rash occur on several mucous membranes other than the lips or the mouth. If gluten ingestion is avoided and the correct medication is administered, the indications usually disappear. In some cases, taking oral contraceptives may exacerbate the symptoms.
The symptoms of dermatitis herpetiformis are persistent. Usually, the indications tend to come and go, usually in short periods of time. These symptoms can be accompanied by abdominal pain and tiredness and some indications of celiac disease.
The rash that is caused by DH forms and disappears in 3 stages. Initially, the patient can see a slight discoloration of the skin where the lesions appear. Next, the skin lesions transform into obvious vesicles and papules that are likely to occur in groups. The healing stage of the lesions is the final stage of development. Usually this set of signs is characterized by a skin color change. This might result in areas of the skin turning lighter or darker compared to the color of the skin elsewhere on the body. Because of the intense itching, people usually scratch which can cause the formation of crusts.
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