DERMATITIS HERPETIFORMIS

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	DERMATITIS HERPETIFORMIS
	*DERMATITIS HERPETIFORMIS*

DERMATITIS HERPETIFORMIS

Dermatitis herpetiformis

Chronic inflammation of the skin that is characterized by clusters of small pruriginosas blisters.

Parts of the body that affects

This affection is hereditary although noncontagious nor cancerous.

Age

It does not affect children.

Causes

Strangers, although can be a disorder of the immune system.

Signs and symptoms

Excoriaciones with the following characteristics:

In small clusters of 5 to 20 blisters.

The blisters usually measure of 2mm to 6mm of diameter.

The clusters appear such in sites to both sides of the body.

They itch, although usually they are not painful unless they are complicated.

Factors of risk

The exhibition to the heat and the humidity increases to the frequency and severity of the attacks.

Prevention

Until it has not been possible now to come up.

In order to avoid the repetition of the symptoms, it continues taking the medication according to the instructions and avoids the wounds in the healthy parts of the skin.

Diagnosis and treatment

DIAGNOSIS:

Visit and physical examination by a doctor. Biopsy (it takes from a skin sample to examine it to the microscope).

TREATMENT:

General measures

Soak the parts affected in cold water or apply compresas of cold water to calm the picores.

Medication

In order to calm the picores, it can use drugs without prescription, like:

Lotion steroid powerful in doses little reduced, pomada and cream.

They reduce to the inflammation and the picores in 24 to 48 hours.

Anesthetic topics and antihistamine topics.

These produce fast lightening in the short term.

They could cause sensitivity in the skin, although lidocaína and the pramoxina usually does not do it.

Lotions that contain fenol, mentol and canfor (like the calamine lotion). These are tranquilizing, and must use them with care.

In great amounts they can be absorbed by the skin until the sanguineous flow, and to be toxic.

In order to control the formation of blisters, his doctor can prescribe two oral medicines: sulfapiridina or dapsona.

Anyone of the two will have to be used indefinitely.

Activity

There are no restrictions, except for avoiding the excess of heat and the humidity.

Diet

If it reduces the gluten, will reduce the amount of medicines that is going to need.

With this disease it is advised to follow the following diet: Diet without gluten

Complications

The people with dermatitis herpetiformis also can have an affection of the thin intestine (without symptoms), that pathologically is looked like the one of the patients with intolerancia to the gluten.

The biopsy (of the diestivo tube) is the only means to distinguish sometimes between both.

Prognosis

One is a chronic disease.

The treatment can control the symptoms - including picor- but the disease will not cure.

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