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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Dermatitis Hepetaformis. Suffered With Depression And Insomnia. What Are The Findings And Required Treatment?

Hello I wonder can you help me please. I was diagnosed with dermatitis hepetaformis around twenty years ago. I couldn't cope with the diet for many years and took "dapsone" tablets until a few years ago. I am now married and with much support have been enabled to be partially gluten free for about two years. I say partially because I can't afford to buy the various products from the supermarket. I have sufferers with depression and insomnia for many years along with the constant itching. I enquired wether I could have products on prescription at my new doctors, but they insisted that I be retested for intolerancey by means of the camera and intestinal biopsy. Truthfully that's as far as my enquiry went. I recall vividly my last investigation ( I had to be sedated and they said I still struggled). So my question is this : is there any way I can forgo another series of invasive tests to "re diagnose" a condition that has never changed in all these years? I'm in a bit of a pickle of late because over the last few months my diet has been lax and I've really noticed a massive drop or incline in my depressive state and sleep. Many thanks in advance for any help or advice you can offer. Jonathan
Thu, 27 Jun 2013
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Dermatologist 's  Response
Hello,
Welcome to health care magic.
You can also reconfirm the diagnosis of dermatitis hetpetiformis by taking a skin biopsy from the skin lesions for histopathological examination and an immunofluorescence. If you are having itching alone without skin lesions, a skin biopsy from the buttock can be sent for immunofluorescence test alone, in which it should show deposits characteristic of dermatitis hetpetiformis. By doing this, you can try to avoid more invasive tests like a colonoscopy.
Hope this helped you.
Take care.
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Diagnosed With Dermatitis Hepetaformis. Suffered With Depression And Insomnia. What Are The Findings And Required Treatment?

Hello, Welcome to health care magic. You can also reconfirm the diagnosis of dermatitis hetpetiformis by taking a skin biopsy from the skin lesions for histopathological examination and an immunofluorescence. If you are having itching alone without skin lesions, a skin biopsy from the buttock can be sent for immunofluorescence test alone, in which it should show deposits characteristic of dermatitis hetpetiformis. By doing this, you can try to avoid more invasive tests like a colonoscopy. Hope this helped you. Take care.