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Celiac Disease Not Healing / Additional Food Sensitivities
January 9, 1999 post by Ron Hoggan to the Celiac Listserv:
posting this response to the list as this information may not
be common knowledge in the celiac community, and perhaps it
should be. There are a number of reports, regarding celiac patients,
of coexisting intolerance to milk proteins. One recent report
was of an investigation for cross reacting antibodies. They
found none, but a number of these patients displayed antibodies
against gliadin and parallel anticasein antibodies (1). Another
group has indicated that 36% to 48% of celiac patients demonstrate
antibody reactions to milk proteins (2), although there are
some reports that the frequency of such sensitivities reduce
with treatment of a gluten-free diet (3), although the latter
publication reported a higher initial frequency of reactions
to milk proteins. There is another report of one celiac patient
thought to have refractory sprue who recovered with the additional
dietary exclusion of egg, chicken, and tuna (4). The patient
became very ill before the possibility of immune reactions to
other dietary proteins was considered. These reports suggest
to me that we need to be vigilant about the possibility of additional
food sensitivities. Before leaping to the use of steroids, further
antibody testing seems prudent. The therapeutic use of systemic
steroids carries the potential for some very dangerous side
effects. Dietary exclusion of allergenic proteins, on the other
hand, is just an inconvenience, one that most of us are already
well versed in.
'); return false">ELISA or similar testing ought to be done prior to beginning steroids, as such drugs may be unnecessary, or they may compromise the accuracy of such testing.
- Paranos S, et al. Lack of cross-reactivity between casein and gliadin in sera from coeliac disease patients. Int Arch Allergy Immunol. 1998 Oct;117(2):152-4.
- Volta U, et al. Antibodies to dietary antigens in coeliac disease. Scand J Gastroenterol. 1986 Oct;21(8):935-40.
- Scott H, et al. Immune response patterns in coeliac disease. Serum antibodies to dietary antigens measured by an enzyme linked immunosorbent assay (ELISA). Clin Exp Immunol. 1984 Jul;57(1):25-32.
- Baker AL, et al. Refractory sprue: recovery after removal of nongluten
- Dietary proteins. Ann Intern Med. 1978 Oct;89(4):505-8.
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Dr. Ron Hoggan, Ed.D.
As co-author of "Dangerous Grains" and "Cereal Killers", the study of the impact of gluten continues to be a driving passion in my life. I am fascinated by the way that gluten induces illness and impedes learning while it alters mood, behavior, and a host of other facets of our existence. Sure, the impact of gluten on health is an important issue, but that is only the most obvious area of impact. Mood disturbances, learning disabilities, and the loss of quality of life due to psychiatric and neurological illness are even more tragic than the plethora of physical ailments that are caused or worsened by gluten. The further I go down this rabbit hole, the more I realize that grains are a good food for ruminants - not people. I am a retired school teacher. Over the last decade, I have done some college and university level teaching, but the bulk of my teaching career was spent working with high school students. My Web page is: www.DangerousGrains.comView all articles by Dr. Ron Hoggan, Ed.D.
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