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      Frequently Asked Questions About Celiac Disease   04/07/2018

      This Celiac.com FAQ on celiac disease will guide you to all of the basic information you will need to know about the disease, its diagnosis, testing methods, a gluten-free diet, etc.   Subscribe to Celiac.com's FREE weekly eNewsletter   What are the major symptoms of celiac disease? Celiac Disease Symptoms What testing is available for celiac disease?  Celiac Disease Screening Interpretation of Celiac Disease Blood Test Results Can I be tested even though I am eating gluten free? How long must gluten be taken for the serological tests to be meaningful? The Gluten-Free Diet 101 - A Beginner's Guide to Going Gluten-Free Is celiac inherited? Should my children be tested? Ten Facts About Celiac Disease Genetic Testing Is there a link between celiac and other autoimmune diseases? Celiac Disease Research: Associated Diseases and Disorders Is there a list of gluten foods to avoid? Unsafe Gluten-Free Food List (Unsafe Ingredients) Is there a list of gluten free foods? Safe Gluten-Free Food List (Safe Ingredients) Gluten-Free Alcoholic Beverages Distilled Spirits (Grain Alcohols) and Vinegar: Are they Gluten-Free? Where does gluten hide? Additional Things to Beware of to Maintain a 100% Gluten-Free Diet What if my doctor won't listen to me? An Open Letter to Skeptical Health Care Practitioners Gluten-Free recipes: Gluten-Free Recipes
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    FIVE COMMON SKIN CONDITIONS ASSOCIATED WITH CELIAC DISEASE


    Kristen Campbell

    Gluten intolerance often presents itself in ways unexpected, including several common skin conditions.  Ranging in severity from dermatitis herpetiformis to dry skin, avoiding gluten may have more to do with your plaguing skin concerns than you imagined.


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    Here are some common dermatological concerns associated with celiac disease:

    • Dermatitits Herpetiformis—This painful, blistery condition can be very stressful, especially when misdiagnosed.  An inflamed, itchy rash, dermatitis herpetiformis begins as tiny white filled blisters or red spots around hair follicles.  Trying to hide or disguise DH, as well as trying to treat it when misdiagnosed can be incredibly stressful for a person.
    • Eczema—Eating a gluten-free diet is becoming an increasingly popular mode of treatment for eczema.  Those who are gluten intolerant also tend to have more advanced psoriasis.Psoriasis—Like eczema, psoriasis has in many cases shown improvement when the person is put on a gluten free diet.  In Scott Adams’ 2004 article, he also mentioned that psoriasis in those with celiac tends to be more severe.
    • Acne—Links between celiac and malabsorption, as well as hormonal upset can contribute to a greater production of acne.  Many birth control pills boast promises of clearer skin, their method is through hormone manipulation.  Because many who suffer from gluten intolerance also experience a disruption of normal hormone function, this disharmony can lead to problems with acne. 
    • Dry Skin—Also correlated to malabsorption, dry skin is a very common complaint amongst those with celiac.  But this condition is one that many people see even after the prescribed treatment of a gluten free diet.  Why?  Vitamin E rich grains are vital to maintaining skin harmony, but since many who are gluten intolerant begin avoiding grains completely—even those grains that are gluten-free, getting that important Vitamin E in their diets can become a challenge.



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    Guest Brandon

    Posted

    All of this is fine and good and true. Problem is that what I fail to see in most articles about eczema in general is that even though one wisely chooses to use natural methods of combating it, most are still short term solutions.

     

    While in the midst of an inflamed eczema attack, immediate relief is an issue, yet the underlying cause is rarely addressed.

     

    Though doctors and researchers have not yet put there finger on the "ONE" cause of eczema, they all pretty much agree that it is brought on by an underlying allergy usually brought on by heredity.

     

    As you pointed out, gluten is a large contributor to this ailment, (i.e. an allergic reaction to foods). Therefore a person could (not very often, but could) suffer from eczema their whole life unless they cure the allergy.

     

    There is no one product that is going to do it all. Therefore no particular product recommendation, but while treating the symptoms, one should address the root problem... the immune system.

     

    Heal the immune system, and the body can do a pretty good job of healing itself - including eczema.

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    Guest Dee Slocum

    Posted

    I'm going to have to show this article to my husband. I've been trying to get him to try going gluten-free for forever. Maybe the possibility that it could help with his eczema will be enough to make him finally give it a try.

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    Very interesting! I thought I had noticed that my eczema was milder since going gluten-free. Since my primary symptoms are anemia and not gastric intestinal discomfort, this news might make it easier to tell when I've been accidentally exposed to some hidden gluten in my diet.

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    All of this is fine and good and true. Problem is that what I fail to see in most articles about eczema in general is that even though one wisely chooses to use natural methods of combating it, most are still short term solutions.

     

    While in the midst of an inflamed eczema attack, immediate relief is an issue, yet the underlying cause is rarely addressed.

     

    Though doctors and researchers have not yet put there finger on the "ONE" cause of eczema, they all pretty much agree that it is brought on by an underlying allergy usually brought on by heredity.

     

    As you pointed out, gluten is a large contributor to this ailment, (i.e. an allergic reaction to foods). Therefore a person could (not very often, but could) suffer from eczema their whole life unless they cure the allergy.

     

    There is no one product that is going to do it all. Therefore no particular product recommendation, but while treating the symptoms, one should address the root problem... the immune system.

     

    Heal the immune system, and the body can do a pretty good job of healing itself - including eczema.

    I've been on a gluten free diet for five years and using the best whole food supplements for 15 years. I STILL have eczema..I have to say it's a bit better, but I just can't figure out the ONE thing to make it go away. I did notice that removing potatoes, tomatoes and green peppers (I think these are the nightshade foods??) from my diet immediately turned around the inflamed eczema I had on my eyelid. 3-4 days after taking them entirely out to my diet....the eczema on my eye was completely gone. But what's on my elbows and scalp didn't go away. It is however not inflamed. I would sure love to heal my immune system...if that's what it takes, but not sure what else to do.

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    Guest Fran Greenfield

    Posted

    What I have is very dry scaly skin, and I will presume that this is also part of being gluten intolerant. I sort of hoped that in having been diagnosed as gluten intolerant and on a gluten free diet, that I would see some improvement in my skin. I had no idea that I had been gluten intolerant all my life since it didn't show up until the last year - and I'm now 76. I was milk allergic as a baby, but it appeared to have gone away - guess it was just hiding because I really ate whatever I liked until the last year when bread became the factor and everything just sort of slid downhill after that.

     

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    Guest JKJKJK

    Posted

    I've been on a gluten free diet for five years and using the best whole food supplements for 15 years. I STILL have eczema..I have to say it's a bit better, but I just can't figure out the ONE thing to make it go away. I did notice that removing potatoes, tomatoes and green peppers (I think these are the nightshade foods??) from my diet immediately turned around the inflamed eczema I had on my eyelid. 3-4 days after taking them entirely out to my diet....the eczema on my eye was completely gone. But what's on my elbows and scalp didn't go away. It is however not inflamed. I would sure love to heal my immune system...if that's what it takes, but not sure what else to do.

    Amy, try incorporating some apple cider vinegar with the "Mother". I have about 2 tbs in my smoothie daily and have noticed a difference in skin and works for inflammation.

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    Guest mikey

    Posted

    It's a good start but as Brandon notes, it's a short term solution. I've been doing gluten-free for my psoriasis for a few years now, but have gradually started to include dairy, nightshades, caffeine (in all forms) in my no-eat list. It sucks in terms of fun eating, but the psoriasis is down but not gone like it was when I did this diet five years ago. I've read having hidden infections in your mouth as well as stress can also trigger skin outbreaks. I'm seeing the dentist Friday to check on that. Good luck everyone!

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    Guest molly

    Posted

    I've been on a gluten free diet for five years and using the best whole food supplements for 15 years. I STILL have eczema..I have to say it's a bit better, but I just can't figure out the ONE thing to make it go away. I did notice that removing potatoes, tomatoes and green peppers (I think these are the nightshade foods??) from my diet immediately turned around the inflamed eczema I had on my eyelid. 3-4 days after taking them entirely out to my diet....the eczema on my eye was completely gone. But what's on my elbows and scalp didn't go away. It is however not inflamed. I would sure love to heal my immune system...if that's what it takes, but not sure what else to do.

    Have you tried a candida free diet? It's hard -- you have to eliminate a lot more than even gluten from your diet -- and it could even take several months, but then once it is cleared, you may be able to gradually add it back into your diet.

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    My Aunt, diagnosed with celiac disease 11 years ago, used to suffer from Psoriasis until converting to a gluten free diet - and I, diagnosed with celiac 2 years ago, used to suffer from eczema. I believe there is a huge link between celiac and skin conditions, AND Endometriosis!

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    I believe the FDA is allowing companies to feed us more garbage. These filler/cheaters such as wheat gluten are making some of us sick. I fear a growing number will become ill as things become contaminated, polluted and made as cheaply as possible in an effort to increase profits. Food prices are increasing and following a gluten free diet is even more expensive, but I'm sick and I don't know where else to turn. The federal government needs to do their jobs and protect us instead of lining their pockets with special/personal interests.

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    My Aunt, diagnosed with celiac disease 11 years ago, used to suffer from Psoriasis until converting to a gluten free diet - and I, diagnosed with celiac 2 years ago, used to suffer from eczema. I believe there is a huge link between celiac and skin conditions, AND Endometriosis!

    I have eliminated wheat to try and treat my endometriosis, and may end up eliminating all gluten eventually. There is a great book by Dian Shepperson Mills if you are interested.

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    Guest Mugglemama

    Posted

    My daughter had terrible, terrible eczema for a long time. It seemed we tried EVERYTHING, including extreme elimination diets. None of it worked. And then, after coming across some literature, we tried probiotics and Borage Oil. She took one does of the probiotics and one capsule of Borage Oil (that I cut open and put into applesauce). There wasn't any change at first. At the 4 week mark, the eczema stopped getting worse. At 6 weeks, it was undeniably beginning to clear. By 8 weeks, it was GONE. All of it. And it hasn't come back (it's been a year now), and she has not had to do a repeat of the probiotics or the Borage Oil once that 8 weeks was up. I really hope this information can help someone else!

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    Guest Deborah

    Posted

    I've been on a gluten free diet for five years and using the best whole food supplements for 15 years. I STILL have eczema..I have to say it's a bit better, but I just can't figure out the ONE thing to make it go away. I did notice that removing potatoes, tomatoes and green peppers (I think these are the nightshade foods??) from my diet immediately turned around the inflamed eczema I had on my eyelid. 3-4 days after taking them entirely out to my diet....the eczema on my eye was completely gone. But what's on my elbows and scalp didn't go away. It is however not inflamed. I would sure love to heal my immune system...if that's what it takes, but not sure what else to do.

    Hi Amy,

    My daughter suffers from eczema. At age 4, her scalp looked like she had cradle cap again. Chunks of her hair were coming out with the dry skin patches. The doc had it tested and just said it was atopic dermatitis and recommended dandruff shampoo. I decided to try Vanicream on her. They make soap, lotion, shampoo and conditioner. It cleared up her eczema on her head within a week and it has not come back. It has been 2 and 1/2 years now and only time it has come back it when I ran out of it. She still gets it on her skin in the winter months, but the lotion helps. They sell Vanicream's full line of products at Target, through the pharmacy.

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    Guest Nancy

    Posted

    I believe the FDA is allowing companies to feed us more garbage. These filler/cheaters such as wheat gluten are making some of us sick. I fear a growing number will become ill as things become contaminated, polluted and made as cheaply as possible in an effort to increase profits. Food prices are increasing and following a gluten free diet is even more expensive, but I'm sick and I don't know where else to turn. The federal government needs to do their jobs and protect us instead of lining their pockets with special/personal interests.

    Perhaps it's just a coincidence but it seems like the injection of GMOs into mainstream diets seems to coincide with increased allergies, celiac, and other skin disorders and cancers. Obviously there's no proof... yet, but I think there's a strong link. On a side note, has anyone developed intolerances to eating straight rice? I seem to feel my best when I just eat meat, fruit, and veggies.

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    Perhaps it's just a coincidence but it seems like the injection of GMOs into mainstream diets seems to coincide with increased allergies, celiac, and other skin disorders and cancers. Obviously there's no proof... yet, but I think there's a strong link. On a side note, has anyone developed intolerances to eating straight rice? I seem to feel my best when I just eat meat, fruit, and veggies.

    My five year old daughter has wheat, and soy allergies. We recently put her on Fish oil with omega 3, 6, & 9, as well as cod liver oil, When my daughter consumes GMO foods her eczema becomes inflamed in a very bad way. We do a lot of organic fruit and veggie smoothies with flax and chi seed as well. Our daughter isn't much of a meat eater. I can tell you that sticking to whole quality organic raw foods, some cooked along with meat that isn't chemically treated help a lot. Nothing seems to make it go away though.

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    I have had celiac for 14 years, I take 100 m of dapsone for my skin disorder. It is for lepers. Dapsone is hard on your blood cells and makes you anemic which also makes you very tired. I am 73 yrs. old. My two sisters also have celiac, the youngest all her life, 66 years.

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    Hi Amy,

    My daughter suffers from eczema. At age 4, her scalp looked like she had cradle cap again. Chunks of her hair were coming out with the dry skin patches. The doc had it tested and just said it was atopic dermatitis and recommended dandruff shampoo. I decided to try Vanicream on her. They make soap, lotion, shampoo and conditioner. It cleared up her eczema on her head within a week and it has not come back. It has been 2 and 1/2 years now and only time it has come back it when I ran out of it. She still gets it on her skin in the winter months, but the lotion helps. They sell Vanicream's full line of products at Target, through the pharmacy.

    Thank you Deborah for this information.

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    Guest Misskk

    Posted

    I've been on a gluten free diet for five years and using the best whole food supplements for 15 years. I STILL have eczema..I have to say it's a bit better, but I just can't figure out the ONE thing to make it go away. I did notice that removing potatoes, tomatoes and green peppers (I think these are the nightshade foods??) from my diet immediately turned around the inflamed eczema I had on my eyelid. 3-4 days after taking them entirely out to my diet....the eczema on my eye was completely gone. But what's on my elbows and scalp didn't go away. It is however not inflamed. I would sure love to heal my immune system...if that's what it takes, but not sure what else to do.

    My eczema clears completely if I eliminate all gluten AND all milk products! Maybe this will help you! I hope so.

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    Guest Heather

    Posted

    I found big rashes!!! My doctor said allergy to migraine shots.. "anyone else allergic to many antibiotics?"

    Many years ago i was told i may have a gluten allergy over ten years ago! I was vegan for about a year on a super strict diet.. of gluten free, dairy and caffeine, only organic products, and sugar contents of up to 10.. since finding out over ten grams gave me a migraine. So any who.. looking up about gluten free and celiac disease on looking back into the whole diet.. I saw this rash and cause of problems I was never ever told about caused by having the gluten allergy/ celiac disease.

    It's so shocking since family history could possibly teach us more on how or why we have this horrible and painful disease. Please let me know if you have info on problems caused by this or know anyone who can talk to me or anything like that ... Thanks so much god bless

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    admin
    The the connection between iodine and Dermatitis Herpetiformis is briefly described by the following excerpt from a resource guide of the Gluten Intolerance Group of North America:
    Iodine can trigger eruptions in some people (with dermatitis herpetiformis). However, iodine is a essential nutrient and should not be removed from the diet without a physicians supervision. Iodine does not contain gluten. Iodine can worsen the symptoms of skin lesions in patients with dermatitis herpetiformis. When the deposits of IgA have been cleared from the skin over time by following a gluten free diet, iodine should no longer present any problem for dermatitis herpetiformis patients. As background, for those who are not familiar with Dermatitis Herpetiformis, the following description comes from a resource guide of the Gluten Intolerance Group of North America:
    Dermatitis herpetiformis (dermatitis herpetiformis) is a chronic disease of the skin marked by groups of watery, itch blisters. The ingestion of gluten (the proteins gliadin and prolamines contained in wheat, rye, oats, and barley) triggers an immune system response that deposits a substance, IgA (immonuglobin A), under the top layer of skin. IgA is present in affected as well as unaffected skin. dermatitis herpetiformis is a hereditary autoimmune disease linked with celiac disease. If you have dermatitis herpetiformis, you always have celiac disease. With dermatitis herpetiformis the primary lesion is on the skin rather than the small intestine. The degree of damage to the small intestine is often less severe or more patchy then those with only celiac disease. Both diseases are permanent and symptoms/ damage will occur after comsuming gluten. When my husband was diagnosed with dermatitis herpetiformis last November, he went to visit a expert in dermatitis herpetiformis, Dr. John J. Zone, at the University of Utah (USA). The written instructions Dr. Zone gave him included the following statement:
    The mineral iodine is known to make the disease (dermatitis herpetiformis) worse. For this reason, foods and supplements high in iodine should be avoided. Table salt which is not iodized should be used. This can be found in most grocery stores with the other salts. Avoid kelp and other seaweed products, and do not use sea salt. If you take any nutritional supplements, examine them carefully to avoid any iodine containing ingredients. It is not necessary for dermatitis herpetiformis patients to eliminate iodine completely from their diet, merely to avoid foods high in iodine as described above. Dr. Zone also explained that dermatitis herpetiformis patients need not avoid iodine indefinitely. Iodine is an important mineral for our bodies. dermatitis herpetiformis patients can stop avoiding iodine when their rash symptoms clear up which can take anywhere from a few months to a couple of years on a gluten-free diet.
    More about iodine:
    Intake of large amounts of inorgana iodide is known to exacerbate symptoms and a few patients have been reported to improve on low iodide diets. However, this is not a mainstay of treatment and need only be considered if patients are consuming excessive iodide in the form of vitamin pills, kelp, or seafood. Likewise, some patients have reported exacerbation with thyroid hormone replacement therapy and thyrotoxicosis. In such cases, excessive thyroid replacement should be avoided and thyrotoxicosis treated appropriately. Dermatitis Herpetiformis, John J. Zone MD, Curr Probl Dermatol, Jan/Feb 1991, p36 Dermatitis Herpetiformis is considered a rare skin disease. The true incidence and prevalence of dermatitis herpetiformis appears to vary in different areas of the world and may vary within the same country. During 1987, 158 cases of documented dermatitis herpetiformis were identified in the state of Utah out of a population of 1.6 million, a prevalence of 9.8 per 100,000. Dermatitis Herpetiformis, John J. Zone MD, Curr Probl Dermatol, Jan/Feb 1991, p15

    Jefferson Adams
    Celiac.com 12/29/2011 - About one in 100 people in America has celiac disease, while about one in four of those will develop dermatitis herpetiformis Duhring, which occurs when celiac disease manifests cutaneously, in the skin. Dermatitis herpetiformis Duhring is uncommon in children, with only 5% of cases appearing in children younger than 7 years. Most often, it presents in people over forty.
    Making a proper clinical diagnosis of dermatitis herpetiformis Duhring, also known as Duhring’s disease, is challenging, and often requires the help of skin biopsy and direct immunofluorescence.
    To do this, clinicians should look for antibodies against gliadin, endomysium, and transglutaminase, said Dr. Magdalene A. Dohil, of the University of California, San Diego, at a seminar sponsored by Skin Disease Education Foundation (SDEF).
    The fact that manifestations of celiac disease in the mucous and skin may point to Duhring's disease was one of the more important aspects of Dr. Dohil's discussion, for people with celiac disease, and those treating them.
    Dr. Dohil noted that, at some point during the course of their disease, more than seven in ten people (74%) with celiac disease will have some type of skin manifestation. Most often, this skin manifestation occurs in the form of xerosis, which often triggers pruritus. Mucosal manifestations occur in 27% of patients, especially in patients with longer history of celiac disease.
    Dr. Dohil pointed out numerous diseases, disorders, syndromes, and structural epithelial defects with clear connections between skin and gut. For example, 60%-82% people with asymptomatic inflammatory bowel disease present with mucocutaneous findings that include skin tags, fistulas, fissures, or abscesses in the perianal and genital areas. In 25%-30% of cases, these will precede GI complaints. Dr. Dohil said.
    Overall, 6%-20% of all patients with inflammatory bowel disease develop oral lesions, but up to 80% of pediatric cases with Crohn’s disease and 41% with ulcerative colitis develop such lesions.
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    http://www.skinandallergynews.com/news/medical-dermatology/single-article/diseases-of-the-gut-may-present-cutaneously/57197f4ef7.html

    Jefferson Adams
    Celiac.com 08/26/2013 - Celiac disease and its cutaneous manifestation, dermatitis herpetiformis are both disease marked by sensitivity to gluten. Metabolic bone disease is common among in people with celiac disease, but there isn't much data on rates of bone density in patients with dermatitis herpetiformis.
    A team of researchers recently set out to determine if dermatitis herpetiformis triggers bone loss, as does celiac disease.
    The research team included K. Lorinczy, M. Juhász, A. Csontos, B. Fekete, O. Terjék, P.L. Lakatos, P. Miheller, D. Kocsis, S. Kárpáti, Tulassay Z, Zágoni T.
    For their study, the team wanted to compare bone mineral density (BMD) of celiac and dermatitis herpetiformis patients.
    The study group included 34 celiac patients, 53 with dermatitis herpetiformis and 42 healthy controls.
    Average age for celiac patients was 38.0 +/- 12.1 years, for dermatitis herpetiformis it was 32.18 +/- 14.95 years, while it was 35.33 +/- 10.41 years for healthy control subjects.
    The team used dual-energy X-ray absorptiometry to measure bone mineral density of the lumbar spine, the left femoral neck and radius.
    They defined low bone density, osteopenia and osteoporosis as a body mass density (BMD) T-score between 0 and -1, between -1 and -2.5, and under -2.5, respectively.
    They found decreased BMD in the lumbar region, consisting of dominantly trabecular compartment, in 26 patients (49%) with dermatitis herpetiformis, 21 patients with celiac disease (62%), and in 12 of the healthy control subjects (29%).
    They also measured lower BMD at the lumbar region in dermatitis herpetiformis and celiac patients, compared to healthy subjects (0.993 +/- 0.136 g/cm2 and 0.880 +/- 0.155 g/cm2 vs. 1.056 +/- 0.126 g/cm2; p < 0.01).
    They found no difference in density of bones consisting of dominantly cortical compartment (femoral neck) between dermatitis herpetiformis patients and healthy control subjects.
    The results show that a low bone mass is also common in patients with dermatitis herpetiformis. Bone mineral content in these patients is significantly lower in those parts of the skeleton which contain more trabecular bone, and less reduced in areas with more cortical bone.
    Source:
    Rev Esp Enferm Dig. 2013 Apr;105(4):187-193.

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    Jefferson Adams
    Celiac.com 04/19/2018 - Previous genome and linkage studies indicate the existence of a new disease triggering mechanism that involves amino acid metabolism and nutrient sensing signaling pathways. In an effort to determine if amino acids might play a role in the development of celiac disease, a team of researchers recently set out to investigate if plasma amino acid levels differed among children with celiac disease compared with a control group.
     
    The research team included Åsa Torinsson Naluai, Ladan Saadat Vafa, Audur H. Gudjonsdottir, Henrik Arnell, Lars Browaldh, and Daniel Agardh. They are variously affiliated with the Institute of Biomedicine, Department of Microbiology & Immunology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; the Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden; the Department of Pediatric Gastroenterology, Hepatology and Nutrition, Karolinska University Hospital and Division of Pediatrics, CLINTEC, Karolinska Institute, Stockholm, Sweden; the Department of Clinical Science and Education, Karolinska Institute, Sodersjukhuset, Stockholm, Sweden; the Department of Mathematical Sciences, Chalmers University of Technology, Gothenburg, Sweden; the Diabetes & Celiac Disease Unit, Department of Clinical Sciences, Lund University, Malmö, Sweden; and with the Nathan S Kline Institute in the U.S.A.
    First, the team used liquid chromatography-tandem mass spectrometry (LC/MS) to analyze amino acid levels in fasting plasma samples from 141 children with celiac disease and 129 non-celiac disease controls. They then crafted a general linear model using age and experimental effects as covariates to compare amino acid levels between children with celiac disease and non-celiac control subjects.
    Compared with the control group, seven out of twenty-three children with celiac disease showed elevated levels of the the following amino acids: tryptophan; taurine; glutamic acid; proline; ornithine; alanine; and methionine.
    The significance of the individual amino acids do not survive multiple correction, however, multivariate analyses of the amino acid profile showed significantly altered amino acid levels in children with celiac disease overall and after correction for age, sex and experimental effects.
    This study shows that amino acids can influence inflammation and may play a role in the development of celiac disease.
    Source:
    PLoS One. 2018; 13(3): e0193764. doi: & 10.1371/journal.pone.0193764

    Jefferson Adams
    Celiac.com 04/18/2018 - To the relief of many bewildered passengers and crew, no more comfort turkeys, geese, possums or other questionable pets will be flying on Delta or United without meeting the airlines' strict new requirements for service animals.
    If you’ve flown anywhere lately, you may have seen them. People flying with their designated “emotional support” animals. We’re not talking genuine service animals, like seeing eye dogs, or hearing ear dogs, or even the Belgian Malinois that alerts its owner when there is gluten in food that may trigger her celiac disease.
    Now, to be honest, some of those animals in question do perform a genuine service for those who need emotional support dogs, like veterans with PTSD.
    However, many of these animals are not service animals at all. Many of these animals perform no actual service to their owners, and are nothing more than thinly disguised pets. Many lack proper training, and some have caused serious problems for the airlines and for other passengers.
    Now the major airlines are taking note and introducing stringent requirements for service animals.
    Delta was the first to strike. As reported by the New York Times on January 19: “Effective March 1, Delta, the second largest US airline by passenger traffic, said it will require passengers seeking to fly with pets to present additional documents outlining the passenger’s need for the animal and proof of its training and vaccinations, 48 hours prior to the flight.… This comes in response to what the carrier said was a 150 percent increase in service and support animals — pets, often dogs, that accompany people with disabilities — carried onboard since 2015.… Delta said that it flies some 700 service animals a day. Among them, customers have attempted to fly with comfort turkeys, gliding possums, snakes, spiders, and other unusual pets.”
    Fresh from an unsavory incident with an “emotional support” peacock incident, United Airlines has followed Delta’s lead and set stricter rules for emotional support animals. United’s rules also took effect March 1, 2018.
    So, to the relief of many bewildered passengers and crew, no more comfort turkeys, geese, possums or other questionable pets will be flying on Delta or United without meeting the airlines' strict new requirements for service and emotional support animals.
    Source:
    cnbc.com

    admin
    WHAT IS CELIAC DISEASE?
    Celiac disease is an autoimmune condition that affects around 1% of the population. People with celiac disease suffer an autoimmune reaction when they consume wheat, rye or barley. The immune reaction is triggered by certain proteins in the wheat, rye, or barley, and, left untreated, causes damage to the small, finger-like structures, called villi, that line the gut. The damage occurs as shortening and villous flattening in the lamina propria and crypt regions of the intestines. The damage to these villi then leads to numerous other issues that commonly plague people with untreated celiac disease, including poor nutritional uptake, fatigue, and myriad other problems.
    Celiac disease mostly affects people of Northern European descent, but recent studies show that it also affects large numbers of people in Italy, China, Iran, India, and numerous other places thought to have few or no cases.
    Celiac disease is most often uncovered because people experience symptoms that lead them to get tests for antibodies to gluten. If these tests are positive, then the people usually get biopsy confirmation of their celiac disease. Once they adopt a gluten-free diet, they usually see gut healing, and major improvements in their symptoms. 
    CLASSIC CELIAC DISEASE SYMPTOMS
    Symptoms of celiac disease can range from the classic features, such as diarrhea, upset stomach, bloating, gas, weight loss, and malnutrition, among others.
    LESS OBVIOUS SYMPTOMS
    Celiac disease can often less obvious symptoms, such fatigue, vitamin and nutrient deficiencies, anemia, to name a few. Often, these symptoms are regarded as less obvious because they are not gastrointestinal in nature. You got that right, it is not uncommon for people with celiac disease to have few or no gastrointestinal symptoms. That makes spotting and connecting these seemingly unrelated and unclear celiac symptoms so important.
    NO SYMPTOMS
    Currently, most people diagnosed with celiac disease do not show symptoms, but are diagnosed on the basis of referral for elevated risk factors. 

    CELIAC DISEASE VS. GLUTEN INTOLERANCE
    Gluten intolerance is a generic term for people who have some sort of sensitivity to gluten. These people may or may not have celiac disease. Researchers generally agree that there is a condition called non-celiac gluten sensitivity. That term has largely replaced the term gluten-intolerance. What’s the difference between celiac disease and non-celiac gluten-sensitivity? 
    CELIAC DISEASE VS. NON-CELIAC GLUTEN SENSITIVITY (NCGS)
    Gluten triggers symptoms and immune reactions in people with celiac disease. Gluten can also trigger symptoms in some people with NCGS, but the similarities largely end there.

    There are four main differences between celiac disease and non-celiac gluten sensitivity:
    No Hereditary Link in NCGS
    Researchers know for certain that genetic heredity plays a major role in celiac disease. If a first-degree relative has celiac disease, then you have a statistically higher risk of carrying genetic markers DQ2 and/or DQ8, and of developing celiac disease yourself. NCGS is not known to be hereditary. Some research has shown certain genetic associations, such as some NCGS patients, but there is no proof that NCGS is hereditary. No Connection with Celiac-related Disorders
    Unlike celiac disease, NCGS is so far not associated with malabsorption, nutritional deficiencies, or a higher risk of autoimmune disorders or intestinal malignancies. No Immunological or Serological Markers
    People with celiac disease nearly always test positive for antibodies to gluten proteins. Researchers have, as yet, identified no such antobodies or serologic markers for NCGS. That means that, unlike with celiac disease, there are no telltale screening tests that can point to NCGS. Absence of Celiac Disease or Wheat Allergy
    Doctors diagnose NCGS only by excluding both celiac disease, an IgE-mediated allergy to wheat, and by the noting ongoing adverse symptoms associated with gluten consumption. WHAT ABOUT IRRITABLE BOWEL SYNDROME (IBS) AND IRRITABLE BOWEL DISEASE (IBD)?
    IBS and IBD are usually diagnosed in part by ruling out celiac disease. Many patients with irritable bowel syndrome are sensitive to gluten. Many experience celiac disease-like symptoms in reaction to wheat. However, patients with IBS generally show no gut damage, and do not test positive for antibodies to gliadin and other proteins as do people with celiac disease. Some IBS patients also suffer from NCGS.

    To add more confusion, many cases of IBS are, in fact, celiac disease in disguise.

    That said, people with IBS generally react to more than just wheat. People with NCGS generally react to wheat and not to other things, but that’s not always the case. Doctors generally try to rule out celiac disease before making a diagnosis of IBS or NCGS. 
    Crohn’s Disease and celiac disease share many common symptoms, though causes are different.  In Crohn’s disease, the immune system can cause disruption anywhere along the gastrointestinal tract, and a diagnosis of Crohn’s disease typically requires more diagnostic testing than does a celiac diagnosis.  
    Crohn’s treatment consists of changes to diet and possible surgery.  Up to 10% of Crohn's patients can have both of conditions, which suggests a genetic connection, and researchers continue to examine that connection.
    Is There a Connection Between Celiac Disease, Non-Celiac Gluten Sensitivity and Irritable Bowel Syndrome? Large Number of Irritable Bowel Syndrome Patients Sensitive To Gluten Some IBD Patients also Suffer from Non-Celiac Gluten Sensitivity Many Cases of IBS and Fibromyalgia Actually Celiac Disease in Disguise CELIAC DISEASE DIAGNOSIS
    Diagnosis of celiac disease can be difficult. 

    Perhaps because celiac disease presents clinically in such a variety of ways, proper diagnosis often takes years. A positive serological test for antibodies against tissue transglutaminase is considered a very strong diagnostic indicator, and a duodenal biopsy revealing villous atrophy is still considered by many to be the diagnostic gold standard. 
    But this idea is being questioned; some think the biopsy is unnecessary in the face of clear serological tests and obvious symptoms. Also, researchers are developing accurate and reliable ways to test for celiac disease even when patients are already avoiding wheat. In the past, patients needed to be consuming wheat to get an accurate test result. 
    Celiac disease can have numerous vague, or confusing symptoms that can make diagnosis difficult.  Celiac disease is commonly misdiagnosed by doctors. Read a Personal Story About Celiac Disease Diagnosis from the Founder of Celiac.com Currently, testing and biopsy still form the cornerstone of celiac diagnosis.
    TESTING
    There are several serologic (blood) tests available that screen for celiac disease antibodies, but the most commonly used is called a tTG-IgA test. If blood test results suggest celiac disease, your physician will recommend a biopsy of your small intestine to confirm the diagnosis.
    Testing is fairly simple and involves screening the patients blood for antigliadin (AGA) and endomysium antibodies (EmA), and/or doing a biopsy on the areas of the intestines mentioned above, which is still the standard for a formal diagnosis. Also, it is now possible to test people for celiac disease without making them concume wheat products.

    BIOPSY
    Until recently, biopsy confirmation of a positive gluten antibody test was the gold standard for celiac diagnosis. It still is, but things are changing fairly quickly. Children can now be accurately diagnosed for celiac disease without biopsy. Diagnosis based on level of TGA-IgA 10-fold or more the ULN, a positive result from the EMA tests in a second blood sample, and the presence of at least 1 symptom could avoid risks and costs of endoscopy for more than half the children with celiac disease worldwide.

    WHY A GLUTEN-FREE DIET?
    Currently the only effective, medically approved treatment for celiac disease is a strict gluten-free diet. Following a gluten-free diet relieves symptoms, promotes gut healing, and prevents nearly all celiac-related complications. 
    A gluten-free diet means avoiding all products that contain wheat, rye and barley, or any of their derivatives. This is a difficult task as there are many hidden sources of gluten found in the ingredients of many processed foods. Still, with effort, most people with celiac disease manage to make the transition. The vast majority of celiac disease patients who follow a gluten-free diet see symptom relief and experience gut healing within two years.
    For these reasons, a gluten-free diet remains the only effective, medically proven treatment for celiac disease.
    WHAT ABOUT ENZYMES, VACCINES, ETC.?
    There is currently no enzyme or vaccine that can replace a gluten-free diet for people with celiac disease.
    There are enzyme supplements currently available, such as AN-PEP, Latiglutetenase, GluteGuard, and KumaMax, which may help to mitigate accidental gluten ingestion by celiacs. KumaMax, has been shown to survive the stomach, and to break down gluten in the small intestine. Latiglutenase, formerly known as ALV003, is an enzyme therapy designed to be taken with meals. GluteGuard has been shown to significantly protect celiac patients from the serious symptoms they would normally experience after gluten ingestion. There are other enzymes, including those based on papaya enzymes.

    Additionally, there are many celiac disease drugs, enzymes, and therapies in various stages of development by pharmaceutical companies, including at least one vaccine that has received financial backing. At some point in the not too distant future there will likely be new treatments available for those who seek an alternative to a lifelong gluten-free diet. 

    For now though, there are no products on the market that can take the place of a gluten-free diet. Any enzyme or other treatment for celiac disease is intended to be used in conjunction with a gluten-free diet, not as a replacement.

    ASSOCIATED DISEASES
    The most common disorders associated with celiac disease are thyroid disease and Type 1 Diabetes, however, celiac disease is associated with many other conditions, including but not limited to the following autoimmune conditions:
    Type 1 Diabetes Mellitus: 2.4-16.4% Multiple Sclerosis (MS): 11% Hashimoto’s thyroiditis: 4-6% Autoimmune hepatitis: 6-15% Addison disease: 6% Arthritis: 1.5-7.5% Sjögren’s syndrome: 2-15% Idiopathic dilated cardiomyopathy: 5.7% IgA Nephropathy (Berger’s Disease): 3.6% Other celiac co-morditities include:
    Crohn’s Disease; Inflammatory Bowel Disease Chronic Pancreatitis Down Syndrome Irritable Bowel Syndrome (IBS) Lupus Multiple Sclerosis Primary Biliary Cirrhosis Primary Sclerosing Cholangitis Psoriasis Rheumatoid Arthritis Scleroderma Turner Syndrome Ulcerative Colitis; Inflammatory Bowel Disease Williams Syndrome Cancers:
    Non-Hodgkin lymphoma (intestinal and extra-intestinal, T- and B-cell types) Small intestinal adenocarcinoma Esophageal carcinoma Papillary thyroid cancer Melanoma CELIAC DISEASE REFERENCES:
    Celiac Disease Center, Columbia University
    Gluten Intolerance Group
    National Institutes of Health
    U.S. National Library of Medicine
    Mayo Clinic
    University of Chicago Celiac Disease Center