Dermatitis herpetiformis primary prevention: Difference between revisions

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{{Dermatitis herpetiformis}}
{{Dermatitis herpetiformis}}
{{CMG}} {{AE}} {{VVS}}
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==Overview==
==Primary Prevention==
=== Social impact ===
The lifelong diet can be difficult and socially troublesome, especially in young patients, but it is crucial in order to avoid serious health consequences. Teenagers in particular occasionally rebel against the dietary strictures and suffer relapses or complications as a result. The widespread use of wheat byproducts in prepared food, soups and sauces can make dining out problematic. This is especially true in the United States, where dermatitis herpetiformis disease is less widely-known among the wider population than it is in Europe. However, certain types of restaurant (e.g., Japanese, Thai, Indian, and Latin American) already offer a wide range of gluten-free menu options, and many major restaurant chains have responded to growing awareness of celiac disease (and by default dermatitis herpetiformis) by posting information about the gluten content of their menu items on their websites.
 
It is important for friends and family to understand that dermatitis herpetiformis is present for life.
 
As [[celiac disease]] has become better understood, the availability of gluten-free replacements for everyday treats such as muffins, bagels, pasta and the like has continually improved, as has their quality.  This has also benefited those with dermatitis herpetiformis.
People with dermatitis herpetiformis and/or celiac cannot eat only gluten-free foods but continue to consume one or two products that contain gluten. For example, drinking beer can still cause symptoms, but even this problem may now be overcome. There are many specialty brews around the world that may be described as gluten free beer.
 
However, the case of beer raises the main problem of dermatitis herpetiformis and celiac disease: while the diet is strict and the effects of the disease are serious, the main symptom of the disease can be social isolation with those with Dermatitis herpetiformis afraid to become involved in normal social life. Parties can be difficult, weddings and funerals hard, holidays awkward, a meal out a nightmare, travel is made more stressful, and even the trip to a bar or pub one that requires the individual to be constantly aware of the disease. It is too easy for the coeliacs and those with dermatitis herpetiformis to withdraw from these normal activities, and many people with these complaints are working to create normal activities where they can forget the problem. It is important for newly diagnosed with either dermatitis herpetiformis or celiacs to ensure that they remain involved in their social life and explain their needs to family and friends.
 
==References==
==References==
{{reflist|2}}
{{reflist|2}}
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[[Category:Primary care]]
[[Category:Primary care]]
[[Category:Skin diseases]]
[[Category:Skin diseases]]
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[[Category:Needs overview]]

Revision as of 15:48, 8 March 2013

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Vishnu Vardhan Serla M.B.B.S. [2]

Primary Prevention

Social impact

The lifelong diet can be difficult and socially troublesome, especially in young patients, but it is crucial in order to avoid serious health consequences. Teenagers in particular occasionally rebel against the dietary strictures and suffer relapses or complications as a result. The widespread use of wheat byproducts in prepared food, soups and sauces can make dining out problematic. This is especially true in the United States, where dermatitis herpetiformis disease is less widely-known among the wider population than it is in Europe. However, certain types of restaurant (e.g., Japanese, Thai, Indian, and Latin American) already offer a wide range of gluten-free menu options, and many major restaurant chains have responded to growing awareness of celiac disease (and by default dermatitis herpetiformis) by posting information about the gluten content of their menu items on their websites.

It is important for friends and family to understand that dermatitis herpetiformis is present for life.

As celiac disease has become better understood, the availability of gluten-free replacements for everyday treats such as muffins, bagels, pasta and the like has continually improved, as has their quality. This has also benefited those with dermatitis herpetiformis. People with dermatitis herpetiformis and/or celiac cannot eat only gluten-free foods but continue to consume one or two products that contain gluten. For example, drinking beer can still cause symptoms, but even this problem may now be overcome. There are many specialty brews around the world that may be described as gluten free beer.

However, the case of beer raises the main problem of dermatitis herpetiformis and celiac disease: while the diet is strict and the effects of the disease are serious, the main symptom of the disease can be social isolation with those with Dermatitis herpetiformis afraid to become involved in normal social life. Parties can be difficult, weddings and funerals hard, holidays awkward, a meal out a nightmare, travel is made more stressful, and even the trip to a bar or pub one that requires the individual to be constantly aware of the disease. It is too easy for the coeliacs and those with dermatitis herpetiformis to withdraw from these normal activities, and many people with these complaints are working to create normal activities where they can forget the problem. It is important for newly diagnosed with either dermatitis herpetiformis or celiacs to ensure that they remain involved in their social life and explain their needs to family and friends.

References

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