Wheat Related Disorders
Wheat related Disorders is an umbrella which includes gluten sensitivity as in Celiac Disease , Dermatitis Herpetiformis, Non-celiac wheat sensitivity ( NCWS) ,Wheat allergy & Adverse reactions to wheat (not related to gluten) They are classified on the basis of the way they affect our immune system.
Celiac Disease
An autoimmune disease which is associated with a typical damage to the intestinal lining called villous atrophy caused by the gluten.
Dermatitis Herpetiformis:
Dermatitis herpetiformis (DH) is a severe, chronic skin rash associated with celiac disease.
The symptoms of dermatitis herpetiformis are extremely itchy and blistering rash . DH is a chronic condition that is considered to be the skin form of celiac disease.
In fact not everyone with celiac disease develop DH, but those who have DH have celiac disease outside the gut . In such individuals the intestinal damage of villous atrophy is usually not present & therefore biopsy is normal . Diagnosis can be made by blood tests & elimination diets .
The rash usually occurs on the elbows, knees, and buttocks and it is typically symmetrical, on both sides of the body. When this gluten-related rash clears it could leave light brown or pale marks on the skin where pigmentation is lost.