The exact medical and clinical relationship between gluten intolerance and dermatitis herpetiformis remains unclear.
Dermatitis Herpetiformis symptoms first appear in the early years of adulthood. Patches of small pink to red blisters appear on the back of the neck, buttocks, back and other extensor surfaces. dermatitis herpetiformis can be distinguished from other skin conditions by the extremely itchy sensation caused by the disease, leading a patient to have a very strong desire to scratch the affected region. On some occasions, the itchy sensation appears well before the blisters begin to the form. The blisters are full of a watery substance, and the blisters may weep in more severe outbreaks. Dermatitis Herpetiformis is one of the more tangible and most visible gluten allergy symptoms.
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Conclusive results for gluten intolerance are usually found by putting a patient on an elimination diet to see if eliminating gluten relieves their issues. However, this is not the first step. Blood testing and allergen testing is done first, as elimination diets can be risky if other issues are present. A blood test to determine if the patient has Celiac’s Disease, a severe gluten intolerance, is first done. In some situations a doctor may also suggest an intestinal biopsy.
Celiac’s Disease is relatively rare, so if the patient tests negative for the clinical test for celiac sprue disease, an allergen test is then done. Please note that just because you test negative for celiac disease does not mean with certainty that you still do not have some form of gluten intolerance. It also does not preclude the possibility for a wheat allergy. For more on these distinctions, please read gluten allergy symptoms.
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First you must separate gluten intolerance into three distinct categories: Celiac Disease, Non-Celiac Gluten Sensitivity and a Wheat Allergy.
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Celiac Disease occurs when the proteins in gluten (glutenin and gliadin) trigger your immune system to overeact with strong and unusual anitbodies. Over time, such antibodies wear down the little hairs called villi which line the walls of your intestine (a process called villous atrophy). These finger-like tiny hairs grab and absorb nutrients as foods pass through your lower digestive tract. As celiac disease symptoms slowly destroy these villi, you become less and less able to process any nutrition from your food. This sets off a domino-effect of increasingly serious health problems.
In a vast majority of cases, gluten intolerance symptoms will be systemic and will be a result of consuming gluten over a period of time. But symptoms of wheat intolerance will instead manifest themselves more like you perceive a typical allergy: quickly and with single exposure.
For example, if you eat a large, dense piece of gluten-rich bread and have immediate reactions, you are more likely experiencing wheat intolerance symptoms or a wheat allergy rather than symptoms of gluten intolerance which specifically represent celiac disease symptoms.
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