{"id":18913,"date":"2019-10-22T07:06:22","date_gmt":"2019-10-22T05:06:22","guid":{"rendered":"https:\/\/zdravovek.eu\/?p=18913"},"modified":"2020-09-11T19:50:00","modified_gmt":"2020-09-11T17:50:00","slug":"dermatitis-herpetiformis","status":"publish","type":"post","link":"https:\/\/zdravovek.eu\/cs\/dermatitis-herpetiformis\/","title":{"rendered":"Dermatitis herpetiformis Duhring (DH) &#8211; co to je, p\u0159\u00edznaky, l\u00e9\u010dba"},"content":{"rendered":"<p><strong>Dermatitis herpetiformis<\/strong> (herpetiformn\u00ed dermatitida, Dermatitis herpetiformis Duhring) je <strong>ko\u017en\u00ed projev onemocn\u011bn\u00ed celiakie<\/strong>. Projevuje se sv\u011bd\u011bn\u00edm a v\u00fdsevem na r\u016fzn\u00fdch \u010d\u00e1stech t\u011bla, zejm\u00e9na v oblasti lokt\u016f, kolen a zadku.<\/p>\n<p>Zjist\u011bte, <strong>jak\u00e9 p\u0159\u00edznaky doprov\u00e1zej\u00ed DH a jak\u00e1 je jeho l\u00e9\u010dba<\/strong>.<\/p>\n\n<h2>Co je to dermatitis herpetiformis?<\/h2>\n<p>Dermatitis herpetiformis je <strong>ko\u017en\u00edm projevem celiakie<\/strong>. Vyskytne se u <strong>15 &#8211; 25 % pacient\u016f s celiaki\u00ed<\/strong>.<\/p>\n<p>Naopak, celiakie u lid\u00ed s dermatitis herpetiformis se obvykle neprojevuje tr\u00e1vic\u00edmi probl\u00e9my. Intolerance na gluten se uk\u00e1\u017ee a\u017e p\u0159i n\u00e1sledn\u00e9 diagnostice. <strong>Diagnostika<\/strong> Dermatitis herpetiformis Duhring spo\u010d\u00edv\u00e1 <strong>v s\u00e9rologick\u00fdch testech a n\u00e1sledn\u00e9 biopsii k\u016f\u017ee<\/strong>.<\/p>\n<h3>Kdy se objev\u00ed?<\/h3>\n<p>Celiakie a herpetiformn\u00ed dermatitida se obvykle neobjevuj\u00ed u d\u011bt\u00ed, ale <strong>u dosp\u011bl\u00fdch lid\u00ed ve v\u011bku 30 &#8211; 40 let<\/strong>. Na onemocn\u011bn\u00ed jsou n\u00e1chyln\u011bj\u0161\u00ed mu\u017ei a evropsk\u00e1 populace.<\/p>\n<h3>P\u0159\u00edznaky dermatitis herpetiformis<\/h3>\n<p>Onemocn\u011bn\u00ed se projevuje jako:<\/p>\n<ul>\n<li><strong>sv\u011bd\u00edc\u00ed, mokvaj\u00edc\u00ed vyr\u00e1\u017eky<\/strong>, kter\u00e9 mohou b\u00fdt napln\u011bn\u00e9 tekutinou<\/li>\n<li>vyr\u00e1\u017eky se <strong>objevuj\u00ed jednotliv\u011b nebo ve skupin\u00e1ch<\/strong>, jejich velikost je variabiln\u00ed od mal\u00fdch ploch a\u017e po velk\u00e1 lo\u017eiska<\/li>\n<li>vyr\u00e1\u017eky se <strong>podobaj\u00ed herpesu<\/strong>, nemaj\u00ed v\u0161ak \u017e\u00e1dn\u00fd souvislost s herpesem a nejsou zp\u016fsobov\u00e1ny herpetick\u00fdmi viry<\/li>\n<li>oblasti v\u00fdskytu jsou u velk\u00e9 v\u011bt\u0161iny pacient\u016f zejm\u00e9na: <strong>lokty, kolena a zadek<\/strong><\/li>\n<\/ul>\n<p>P\u0159\u00ed\u010dina objeven\u00ed vyr\u00e1\u017eek je <strong>produkce protil\u00e1tek IgA<\/strong>, kter\u00e9 se za\u010dnou u lid\u00ed s celiaki\u00ed tvo\u0159it po konzumaci lepku.<\/p>\n<h3>L\u00e9\u010dba dermatitis herpetiformis<\/h3>\n<p>Nejefektivn\u011bj\u0161\u00ed l\u00e9\u010dba je <strong>p\u0159\u00edsn\u00e1 bezlepkov\u00e1 dieta<\/strong>, kter\u00e1 mus\u00ed b\u00fdt dlouhodob\u011b dodr\u017eov\u00e1na. K vymizen\u00ed p\u0159\u00edznak\u016f onemocn\u011bn\u00ed doch\u00e1z\u00ed a\u017e p\u0159i kontinu\u00e1ln\u00ed diet\u011b.<\/p>\n<p>Podp\u016frn\u00e1 m\u016f\u017ee b\u00fdt i l\u00e9\u010dba, kterou v\u00e1m p\u0159edep\u00ed\u0161e v\u00e1\u0161 ko\u017en\u00ed l\u00e9ka\u0159. Dostupn\u00fd je l\u00e9k <strong>Disulone<\/strong>, kter\u00fd obsahuje l\u00e9\u010divo <strong>dapson<\/strong>. P\u0159\u00edpravek efektivn\u011b a rychle pom\u00e1h\u00e1 p\u0159i p\u0159\u00edznac\u00edch jako sv\u011bd\u011bn\u00ed a v\u00fdsev vyr\u00e1\u017eek. K jejich redukci by m\u011blo doj\u00edt 1. &#8211; 3. den od u\u017eit\u00ed l\u00e9ku.<\/p>\n<h2>Shrnut\u00ed<\/h2>\n<p>Dermatitis herpetiformis je <strong>ko\u017en\u00ed onemocn\u011bn\u00ed, kter\u00e9 se rozv\u00edj\u00ed na z\u00e1klad\u011b intolerance na gluten (lepek)<\/strong>. Vyr\u00e1\u017eka velmi sv\u011bd\u00ed, je <strong>\u010derven\u00e1, vypoukl\u00e1, m\u016f\u017ee b\u00fdt pln\u00e1 hnisav\u00e9 tekutiny<\/strong>. Nej\u010dast\u011bji se vyskytuje na loktech, kolenou a zadku. Objevit se v\u0161ak m\u016f\u017ee\u00a0 i na b\u0159i\u0161e, obli\u010deji nebo na z\u00e1dech.<\/p>\n<p>Zdroje:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.schaer.com\/sk-sk\/a\/dermatitis-herpetiformis-duhring-dh\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">schaer.com<\/a><\/li>\n<li><a href=\"https:\/\/www.webmd.com\/skin-problems-and-treatments\/what-is-dermatitis-herpetiformis#1-2\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">webmd.com<\/a><\/li>\n<li><a href=\"http:\/\/www.viapractica.sk\/index.php?page=pdf_view&amp;pdf_id=7335&amp;magazine_id=1\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">viapractica.sk<\/a><\/li>\n<\/ul>\n<div class='erit-disclaimer'><span class='erit-disclaimer-icon'><span class='erit-disclaimer-text'>!<\/span><\/span><span class='erit-disclaimer-text'>\u010cl\u00e1nek byl vypracov\u00e1n l\u00e9k\u00e1rn\u00edkem av\u0161ak, slou\u017e\u00ed pouze pro informativn\u00ed \u00fa\u010dely - nenahrazuje l\u00e9ka\u0159sk\u00e9 vy\u0161et\u0159en\u00ed, nebo osobn\u00ed setk\u00e1n\u00ed v l\u00e9k\u00e1rn\u011b.<\/span><\/div>\n<script type='text\/javascript' >\n                jQuery(document).ready(function($) {\n    \n                    let data = {\n                        'action': 'render_widget_action',\n                        'postId': null,\n                        'categoryId': null\n                    };\n    \n                    let ajaxUrlFromPHP = 'https:\/\/zdravovek.eu\/wp-admin\/admin-ajax.php';\n                    jQuery.post(ajaxUrlFromPHP, data, function(response) {\n                        if(response == 0){\n                            \/\/ chyba\n                            jQuery( '#eap_top_w' ).html( '' );\n                            jQuery( '#eap_top_w_wrap' ).hide();\n                        } if(response == -1){\n                            \/\/ nenasli ziadne produkty\n                            jQuery( '#eap_top_w' ).html( '' );\n                            jQuery( '#eap_top_w_wrap' ).hide();\n                        } else {\n                            let desktop = $(window).width() > 960;\n                            if(desktop){\n                                jQuery( '#eap_top_w' ).html( response );\n                                jQuery( '#eap_top_w_wrap' ).fadeIn(1000);\n                            } else {\n                                jQuery( '#eap_top_w_mob_chart' ).html( response );\n                                jQuery( '#eap_top_w_mob' ).fadeIn(1000); 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Projevuje se sv\u011bd\u011bn\u00edm a v\u00fdsevem na r\u016fzn\u00fdch \u010d\u00e1stech t\u011bla, zejm\u00e9na v oblasti lokt\u016f, kolen a zadku. Zjist\u011bte, jak\u00e9 p\u0159\u00edznaky doprov\u00e1zej\u00ed DH a jak\u00e1 je jeho l\u00e9\u010dba. Co je to dermatitis herpetiformis? Dermatitis herpetiformis je ko\u017en\u00edm projevem celiakie. Vyskytne se u 15 &#8211; 25 [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":15897,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[82,79],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v15.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Dermatitis herpetiformis Duhring (DH) - p\u0159\u00edznaky, l\u00e9\u010dba | Zdravov\u011bk<\/title>\n<meta name=\"description\" content=\"Co je to DH? Dermatitis herpetiformis Duhring je ko\u017en\u00ed projev celiakie. 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