Dühring's dermatitis: recommendations for the treatment of the disease

Treatment of dermatoses that occur with the formation of blisters – a complex task that requires the specialist to strictly adhere to the standards of therapy.

The amount of medical care depends on the degree of neglect of the disease, the age and general condition of the patient, the presence or absence of severe comorbidities, as well as the reactivity of the immune system.

For information on how to properly and effectively treat Duhring's dermatitis herpetiformis, as well as nutrition during relapses of the disease, read on estet-portal.com in this article.

General medical treatment for blistering dermatosis

For the first week, pemphigus vera is treated with prednisolone 80 to 200 mg in 24 hours, or triamcinolone or dexamethasone at the equivalent daily dosage. As soon as the symptoms of the disease become less pronounced, and the patient's condition stabilizes, the dose of hormones is gradually reduced over 7 days to maintenance therapy at 10-15 mg / day of prednisolone.

Additionally assign:

•    cytostatics: methotrexate;

•    potassium preparations;

•    ascorbic acid in maximum dosages for age and weight;

•    multivitamins.

Immediately after corticosteroid therapy, medications are prescribed to prevent osteoporosis: anabolic steroids and calcium supplements. If necessary, correction of blood glucose, blood pressure and hormonal levels is carried out.

How dangerous is Dermatitis herpetiformis Duhring

Drug treatment of Dermatitis herpetiformis duehring

Dapson is prescribed for the treatment of Dühring's dermatitis. One treatment cycle consists of 5-6 days of medication and 1-3 days off. Dapsone is indicated twice a day for 0.05-0.1 grams. The therapeutic course includes 2-4 cycles described above.

To prevent recurrence of Duhring's dermatitis herpetiformis, the treatment regimen includes autohemotherapy, plasma transfusion, blood transfusion, intramuscular injection of unithiol, extracorporeal hemoperfusion.

Sulfanilamide preparations, due to their low therapeutic effect, are practically not used in the therapeutic regimen.

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Local treatment of skin dermatoses of various origins  

During the local treatment of dermatoses, skin care is carried out carefully following the rules of asepsis and antisepsis. For the treatment of erosive surfaces, sterile dressings and napkins are used. Puncture blisters with sterile needles from syringes.  

In case of dermatoses, erosive surfaces are treated with methylene blue, sea buckthorn oil, fucorcin.

Wet areas are sprinkled with dermatol mixed in equal amounts with zinc oxide. For the treatment of dermatoses of the lips, ocular conjunctiva and nasal passages, creams with corticosteroids, antibiotics and 5% dermatol ointment are suitable.

Erosions of the oral cavity are treated with dental adhesive paste, rinsed with mouth disinfectants, lubricated with aniline dye solutions.

Essential dermatosis: what is important to remember

Diet Therapy – an important condition in the treatment of the disease

In the treatment of dermatoses that occur with the formation of blisters, diet therapy is indicated. Organize meals at least 4-5 times a day. The diet consists of dishes enriched with vitamins, fats, raisins, apricots, pumpkin. Exclude fried, smoked foods. Limit the use of table salt to a minimum.

With Dühring's dermatitis, the use of gluten is prohibited. Without observing this rule, even after medical treatment of dermatosis, it is impossible to achieve a stable therapeutic remission and cure the disease.

What is allowed and prohibited to be eaten with Dühring's dermatitis, we will give in the table.

Table No. 1. Useful and harmful foods for Dühring's dermatitis

N n/n	Product group	Allowed	Forbidden
1	Cereals	Rice Corn buckwheat	Cereals and beans, including semolina and pearl barley Lentils  Flour products: pasta, noodles
2	Dairy products	Lactic acid products Whole milk	Yogurt
3	Meat	Rabbit Wild and poultry meat	Fatty varieties (lamb, pork)
4	Fruits	Everything, but it is better to use those grown without the use of fertilizers	No
5	Drinks	Still mineral water Tea black and green Coffee	All kinds of kvass and beer Drinks with oats and barley
6	Bread and pastries	Products made from rice, corn flour	Wheat, barley, rye flour
7	Vegetables	Carrots Beets Zucchini Potatoes	Cabbage Beans
8	Desserts	Natural honey Jam Jam Jelly Marmalade	Ready-made desserts containing flour additives

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