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The Patient Celiac



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Hope For A Less Challenging Gluten Challenge

Posted by jebby, 20 July 2014 - - - - - - · 15,849 views

The current “gold standard” tests for celiac disease include testing for celiac antibodies in patients’ blood and performing an endoscopy to obtain small bowel biopsies. In order for these tests to be accurate, one has to be eating gluten up until the time of testing. If a patient is already on the gluten-free diet when these tests are done, the diagnosi...


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Celiac Disease Autoimmunity

Posted by jebby, 20 July 2014 - - - - - - · 14,099 views

Celiac Disease Autoimmunity I first came across the term “celiac disease autoimmunity” a few weeks ago as I read summaries of the article “Risk of Pediatric Celiac Disease According to HLA Haplotype and Country” that was published in the July 3, 2014 issue of the New England Journal of Medicine (NEJM).
Based on my reading and interpretation of the article, it seems that celiac d...


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Gluten-Related Neurologic Symptoms In Children

Posted by jebby, 16 May 2014 - * * * * * · 1,903 views

There is a well-established relationship between celiac disease (and non-celiac gluten sensitivity) and the development of neurologic problems in adults. According to Dr. Marios Hadjivassiliou, a neurologist in the UK who is one of the world’s experts in this area, up to 50% of adults with newly diagnosed celiac disease have signs or symptoms of neurologi...


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Gluten Intolerance Can Actually Be Subclinical Celiac Disease

Posted by jebby, 30 April 2014 - - - - - - · 867 views

I think most of us have met people who have symptoms of celiac disease, but when tested, are told that their celiac antibody blood tests and biopsy results are negative (normal). Some of these people are labeled “gluten intolerant” or “gluten sensitive” by their doctors, others are told they may have “early” celiac disease, or “pre” celiac disease, and t...


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Celiac Disease Can Be A Pain In The Joint

Posted by jebby, 23 February 2014 - - - - - - · 1,467 views

Celiac Disease Can Be A Pain In The Joint Unexplained joint pains (arthralgias) were one of the main symptoms that I dealt with prior to my celiac diagnosis. Throughout my twenties I had pain and stiffness in my fingers, knees and ankles that would come and go with no apparent explanation. I ran track for part of high school and continued to run for fitness during college, but shortly after gradu...


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Celiac Disease In Children

Posted by jebby, 17 January 2014 - - - - - - · 1,255 views
celiac disease children and 3 more...
Celiac Disease In Children Drs. Guandalini and Assiri have written a summary of pediatric celiac disease that was published in the online edition of the journal JAMA Pediatrics last week. In this post I will share some of the highlights of their review article.

Although the overall prevalence of celiac disease is 1% in the pediatric population, only 10-15% of children with celiac...


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Mast Cell Activation Syndrome Madness....

Posted by jebby, 05 January 2014 - - - - - - · 3,549 views
histamine intolerance and cd
Mast Cell Activation Syndrome Madness.... At this time last year I had never heard of mast cell activation syndrome (MCAS) and the first time that I heard the name I thought that it was a “made up” disease. Since then I have come to realize that it is a real diagnosis and I have learned a ton about it, including the following:

MCAS is a newly recognized disease of the innate immune system (our b...


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Non-Celiac Gluten Sensitivity In Children (Summary Of November 2013 Research Study)

Posted by jebby, 21 November 2013 - - - - - - · 1,547 views
non celiac gluten sensitivity and 1 more...
I was thrilled to come across a paper about non-celiac gluten sensitivity in children in the Journal of Pediatrics, one of the main pediatric journals. Many of my pediatrician colleagues read this journal on a regular basis. In this article, a group of Italian researchers has described the symptoms and lab test results in 15 children with gluten sensitivi...


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Early Feeding And Risk Of Celiac Disease In A Prospective Birth Cohort

Posted by jebby, 01 November 2013 - - - - - - · 952 views

**This is the first guest post on my page by Cristen, an incredibly talented scientist and mother of two children. Her youngest child was diagnosed with Celiac disease earlier this year. Many thanks to Cristen for tackling this challenging topic!
Celiac is known to have a large genetic component and people with Celiac disease carry the HLA-DQ2 or HLA...


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The Celiac Iceberg Revisited At Icds 2013

Posted by jebby, 26 October 2013 - - - - - - · 996 views

The second to last session on day one of the 2013 International Celiac Disease Symposium (ICDS) was a talk entitled, “Melting the Celiac Iceberg-potential, latent, silent: to treat or not to treat?” I was very confused about these terms when I first came across them in the Celiac medical and research literature a few years ago.
“Silent” Celiac Disease...