Diagnosis should be performed by biopsy since this is tough to diagnose just by observation. In some patients, a gluten free diet will clear the skin lesions. Almost all patients will have an abnormal small bowel biopsy even in the absense of clear symptoms. There is an increased tendency to have thyroid problems, and some specialized stomach problems. Treatment of these does not alleviate the skin condition.
Dapsone is the usual treatment.
However, this drug needs close follow-up due to its ability to cause problems. Neuropathy is occasionally seen with muscle weakness. Nausea, vomiting and pancreatitis are also seen. In general, this drug is used for as short a period as possible. Back to Drug InfoNet Home Page.