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Two Rapid Commercial Celiac Disease Test Kits Found to be Accurate

Am J Gastroenterol. 2006;101(7):1597-1600.

Celiac.com 08/14/2006 – In an effort to increase the diagnosis rate of celiac disease, researchers in Italy conducted a study to determine the accuracy of two of the new "at home" type rapid commercial celiac disease test kits--both of which require only one drop of whole blood to gain results. Both of the kits detect IgA-IgG anti-human-transglutaminase antibodies (anti-h-tTG) in serum and IgA anti-h-tTG antibody in a single drop of whole blood. The researchers analyzed the serum samples of 114 biopsy-confirmed celiacs, 120 healthy controls, 20 first-degree relatives of celiacs, and 75 diseased controls, and compared them to the standard enzyme-linked immunosorbent assay testing method. Whole blood samples were taken in 51 of the biopsy-confirmed celiacs and 100 controls.

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The serum-based test was found to be positive in all 114 celiac patients, or 100% sensitivity, and among the controls which included three with celiac disease there was 94.9% sensitivity. The accuracy of the blood drop-based assay testing was positive in 46 of the 51 celiacs tested, which equals 90.2% sensitivity. The accuracy, however, is actually higher because five of the patients who tested negative had total IgA deficiency, so the real sensitivity level is actually 95.8%. All 100 controls tested negative which equals 100% specificity.

Given the high degree of accuracy of the two commercial test kits that were evaluated the researchers conclude that general practitioners should utilize these low cost kits during standard office visits whenever celiac disease is suspected.

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2 Responses:

 
Ted
Rating: ratingfullratingfullratingfullratingfullratingfull Unrated
said this on
24 Apr 2008 6:52:52 PM PDT
Great to know! Are these available in the US?

 
Pam O
Rating: ratingfullratingfullratingfullratingfullratingempty Unrated
said this on
16 Jun 2009 6:27:31 PM PDT
This doesn't say where to get the tests!




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Haha todays cheat day and I cant decide if i want pizza or mac and cheese lmao oh the struggle.

Ive seen that one at stop and shop I'll have to give it a try!

Good to know! I have one near me! Their pizza is yummy too.

I'd recommend Vick's VapoRub... Here is the product listing including the ingredients list: http://vicks.com/en-us/shop-products/vaporub/vaporub-topical-ointment It may say cough suppressant but it has many uses, including for congestion, sore muscles/joints, and I'm sure it could aid a sore throat

Yes steroids will give a false negative on the DH tests. In addition many doctors will biopsy the lesions when they need to look for antibodies in the intact skin next to active lesions. There are also some times when folks with DH will have negative blood work. Don't know why. After all celiac related testing is done do give the diet a good strict try. At the top of the Coping section is the 'Newbie 101' thread that has a lot of info for you on what you need to do when you are either diagnosed or giving the gluten free diet a try.