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      Frequently Asked Questions About Celiac Disease   04/24/2018

      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 is Celiac Disease and the Gluten-Free Diet? 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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    PEOPLE WITH UNTREATED CELIAC DISEASE SHOW RESISTANCE TO HEPATITIS B VACCINE


    Jefferson Adams

    Celiac.com 06/30/2008 - The results of a Hungarian study published recently in the June issue of Pediatrics suggest that people with untreated celiac disease show abnormal resistance to the hepatitis B (HBV) vaccine, while celiac patients on a gluten-free diet show a near normal response to the vaccine.


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    A team of doctors led by Dr. Eva Nemes, at the University of Debrecen, administered 2 to 3 doses of recombinant HBV vaccine to 128 patients with celiac disease and an age matched control group of 113 non-celiac patients within a 6-month period. Twenty-two of the celiac patients were following a gluten-free diet when they received the vaccine.

    One month after the last HBV vaccination, the team took blood samples to look for anti-HBV antibodies. The group of 22 patients who received the vaccination while on a gluten-free diet had a sero-conversion rate of 95.5%, which means that more than 9 out of 10 patients developed the desired resistance to hepatitis B.

    The other 106 patients with celiac disease, as well as the control group, were vaccinated at approximately 14 years of age, and their immune response was evaluated by measuring anti-HBV titers about two years later. Of the 106 subjects with celiac disease, seventy had been diagnosed and were maintaining a strict gluten-free diet when they were vaccinated, twenty-seven were undiagnosed and untreated, and nine were diagnosed, but not following a gluten-free diet.

    The seventy subjects with celiac disease that was diagnosed and treated showed a sero-conversion rate of 61.4%. Given the size of the study samples, that’s not significantly different from the 75.2% sero-conversion rate for the control group.

    The big difference arose in those subjects with undiagnosed celiac disease, who showed a response rate of just below 26%, which was substantially lower than the control group and the treated celiac patients. The nine patients with active celiac disease who were not faithfully following a gluten-free diet showed a response rate of 44.4%. The thirty-seven subjects with celiac disease who had failed to respond to the vaccine were placed on a gluten-free diet and given a follow-up vaccine. One month later 36 of them (over 97%) showed a positive response to the vaccine.

    The team concluded that the positive response to the vaccine by celiac patients who were following a gluten-free diet, and the high resistance shown by subjects with undiagnosed celiac disease, and those not following a gluten-free diet, indicates that active celiac disease may play a major role in a failure to respond to the vaccine.

    The team recommends that newly diagnosed patients be checked for resistance to the HBV vaccine, and that those showing resistance be placed on a gluten-free diet before receiving a follow-up dose. They did not go so far as to suggest that those showing resistance to the HBV vaccine be screened for celiac disease, but that would not seem unreasonable, given their results.

    Pediatrics 2008; 121:e1570-e1576.


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    Guest krista

    Posted

    This was a very important finding. It could be quite helpful in the screening process that we should be doing. It could be of great value to college age celiacs who often present vague symptoms that are attributed to the stress of school. When the titers are checked in late adolescence the finding could aid in diagnosis before the most debilitating symptoms show up. Hopefully research into the 'quirk' will continue.

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    This information is so interesting. I am a nurse, and a celiac. I have had about 8 Hepatitis B vaccines and only converted briefly. This explains my problem and is very helpful information. Thank you.

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    I too have resistance to the Hep B vaccine but couldn't understand why until now. I have been gluten free for 2 years but the vaccine still won't take. Thanks for the information, it was very helpful!

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    Guest Jacquie

    Posted

    This article is interesting. I am a nurse and went through TWO series of Hepatiris B vaccines and still had not antibodies built up. Recently I was diagnosed with Celiac Sprue.

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    Guest Catherine

    Posted

    I'm wondering if this is applicable to other vaccines. I had the smallpox vaccine as a child and it never 'took'. Same for my husband. We are both celiacs and now on a gluten free diet.

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    Guest Courtney

    Posted

    This information was very helpful to me. I am a nurse and therefore recommended to keep my vaccinations up to date. I have had the Hep. B series twice now and still have been unable to build antibodies. I was diagnosed with Celiac Disease last November and am still having difficulty giving up foods and taking control. Thanks for this information!!

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    Guest Tracee

    Posted

    This is interesting. Is it possible that it might have something to do with the yeast in the vaccine? Bakers yeast is just as much of a problem with some Celiacs as gluten. Could the body see the Bakers Yeast as a larger threat? Bakers yeast gives my son and I a horrible reaction. I didn't realize we had a bad intolerance to it when he was born (and gluten as well). His reflux kicked off at one week of age with a bought of conjunctivitis. When his eye was cultured the doctors were surprised that it pointed to allergy, since it was neither bacterial or viral induced. They dismissed it because what would a 1 week old baby be allergic too? Now that we know our health issues were gluten and bakers yeast induced. I have to wonder how effective a vaccine is if you're allergic to some of the ingredients...

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    Guest Beverly

    Posted

    The similarities in the stories are a bit scary. I, too am a nurse with Celiac Disease. My symptoms never fit the profile for celiac disease until I received the Hepatitis B virus vaccinations. My GI symptoms resolved when I completed the 6 months of shots. I theorize that the Hepatitis B virus actually was the trigger for my celiac to become active. No one else in my large family has ever been diagnosed with celiac disease.

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    My daughter (Coeliac) and son (gluten intolerant) were both part of a national serosurvey of vaccine preventable diseases conducted through the University of Otago, Christchurch School of Medicine & Health Sciences, here in New Zealand. The results of the study were released to participants in April 2008, and my children got individual results for several different vaccines. They were both found to have no immunity to Hepatitis B. My daughter also has no immunity to Measles.

     

    I wouldn't be surprise if further studies like you describe find other vaccinations also an issue. In my daughter's case, with Measles, she had been re-vaccinated many years ago. This was because there was a recommendation for all children to be re-vaccinated, but I insisted on blood tests first to see if it was necessary. As it turned out, none of my three children had immunity to Measles, and they all then had the repeats. Even after the repeat my daughter was not immune. She and her brother have now been gluten free for 5 years, so it will be interesting to see if the Hep B vaccination that was repeated this morning will 'take' this time!

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    Jefferson Adams
    Celiac.com 06/30/2008 - In the crypts of the small bowel, there is a group of small, granular epithelial cells, called Paneth cells, which play an important part in innate immune system. There has been some controversy about what role Paneth cells might play in complicating celiac disease, so team of Italian researchers set out to examine the distribution, proliferation, and function of paneth cells in adults with uncomplicated and complicated celiac disease.
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    Am J Clin Pathol. 2008 Jul;130(1):34-42.


    Jefferson Adams
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    Source:

    QJM 2010 103(7):511-517

    Jefferson Adams
    Celiac.com 02/10/2012 - The HBV vaccine is usually effective against common hepatitis B virus (HBV) infection, with just 4-10% of vaccine recipients failing to respond to standard immunization. Some studies suggest that people with celiac disease may have high levels of resistance to the HBV vaccine, compared to the general population.
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    SOURCE:
    Hepat Mon. 2011 August 1; 11(8): 597–598.
    doi:  10.5812/kowsar.1735143X.761


    Jefferson Adams
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    Source:
    Vaccine. 2011 Jan 29;29(5):1005-8. doi: 10.1016/j.vaccine.2010.11.060.

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    The team enrolled fifty adults with symptoms and indications of celiac disease in a prospective cohort without regard to the final diagnosis.  At baseline, all individuals underwent cognitive functional and psychological evaluation. The team then compared celiac disease patients with subjects without celiac disease, and with healthy controls matched by sex, age, and education.
    Celiac disease patients had similar cognitive performance and anxiety, but no significant differences in depression scores compared with disease controls.
    A total of thirty-three subjects were diagnosed with celiac disease. Compared with the 26 healthy control subjects, the 17 celiac disease subjects, and the 17 disease control subjects, who mostly had irritable bowel syndrome, showed impaired cognitive performance (P=0.02 and P=0.04, respectively), functional impairment (P<0.01), and higher depression (P<0.01). 
    From their data, the team noted that any abnormal cognitive functions they saw in adults with newly diagnosed celiac disease did not seem not to be a result of the disease itself. 
    Their results indicate that cognitive dysfunction in celiac patients could be related to long-term symptoms from chronic disease, in general.
    Source:
    J Clin Gastroenterol. 2018 Mar 1. doi: 10.1097/MCG.0000000000001018.

    Connie Sarros
    Celiac.com 04/21/2018 - Dear Friends and Readers,
    I have been writing articles for Scott Adams since the 2002 Summer Issue of the Scott-Free Press. The Scott-Free Press evolved into the Journal of Gluten Sensitivity. I felt honored when Scott asked me ten years ago to contribute to his quarterly journal and it's been a privilege to write articles for his publication ever since.
    Due to personal health reasons and restrictions, I find that I need to retire. My husband and I can no longer travel the country speaking at conferences and to support groups (which we dearly loved to do) nor can I commit to writing more books, articles, or menus. Consequently, I will no longer be contributing articles to the Journal of Gluten Sensitivity. 
    My following books will still be available at Amazon.com:
    Gluten-free Cooking for Dummies Student's Vegetarian Cookbook for Dummies Wheat-free Gluten-free Dessert Cookbook Wheat-free Gluten-free Reduced Calorie Cookbook Wheat-free Gluten-free Cookbook for Kids and Busy Adults (revised version) My first book was published in 1996. My journey since then has been incredible. I have met so many in the celiac community and I feel blessed to be able to call you friends. Many of you have told me that I helped to change your life – let me assure you that your kind words, your phone calls, your thoughtful notes, and your feedback throughout the years have had a vital impact on my life, too. Thank you for all of your support through these years.