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New Method of Diagnosing Celiac Disease Looks Promising

Celiac.com 07/30/2007 - A study published in the journal Clinical Gastroenterology and Hepatology suggests that a newly proposed system of classifying duodenal pathology on celiac disease provides an improved inter-observation than the less Marsh-Oberhuber classification, and offers an advance towards making a simpler, better, more valid diagnosis of celiac disease.

Celiac disease is presently classified according to the Marsh-Oberhuber system of classifying duodenal lesions.

Recently, a more elementary method has been suggested. That method is based on three villous morphologies—non-atrophic, atrophic with villous crypto ratio <3:1, and atrophic, villi idnetectable—combined with intraepithelial counts of >25/100 enterocytes.

The study team chose a group of sixty people to be part of the study. Of the 60 patients the team studied, 46 were female and 14 were male. The average age was 28.2 years with a mean range of 1-78 years. 10 people had celiac disease, 13 had celiac disease with normal villi, but a pathological increase in epithelial lymphocytes >25/100 & hyperplastic crypts. 37 patients had celiac disease with villous aptrophy.

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Patients were given biopsies, with at least 4 biopsies were taken from the second part of the duodenum. Biopsies were fixed in formalin and processed according to standard procedures, with cuts at six levels, and stained with hematoxylin resin. The slides were sent randomly to 6 pathologists who were blind to one another.

The results showed that this new method of classification yielded better inter-observer agreement and more accurate diagnosis that the more difficult Marsh-Oberhuber system.

Clinical Gastroenterology and Hepatology 2007;5:838–843

health writer who lives in San Francisco and is a frequent author of articles for Celiac.com.

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1 Response:

 
Val Havrilla
Rating: ratingfullratingfullratingfullratingfullratingfull Unrated
said this on
22 Jan 2009 5:41:53 PM PDT
I am sure I have celiac disease and I was told by a friend there are four blood tests which can be done to properly diagnose it.




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My 13 year old daughter was recently diagnosed with celiac disease through blood work, endoscopy and biopsy. We recently went for a bone density test and we were informed she also has osteopenia. Any advice would be appreciated.

This is stupid. The nuns at Clyde, Missouri make gluten safe hosts. 17 ppm. Well under the 20 ppm threshold. I consume them safely here in Omaha every week.

When I was diagnosed, I told both kids they will have to be tested. They don't know it will be happening sooner rather than later.

Tell him asap to expect to get blood drawn next week or whenever the appt. is. My boys never like surprise medical exams!

Have him read about the disease and the multitude of repercussions that occur from gluten consumption that have nothing to do with "classic stomach" issues. Not following a strict gluten free diet can lead to terrible diseases because your body will be so weak and damaged. When my son was diagnos...