Jump to content
This site uses cookies. Continued use is acceptance of our Terms of Use and Privacy Policy. More Info... ×
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Help Interpreting Test Results


SugarSpike

Recommended Posts

SugarSpike Newbie

I had posted a few weeks back about my history, sorry cant link, anyway I had been mostly gluten free for around a year then when back on it for 6weeks to be rested.

I called the dr surgery and they told me all normal dr said no action, I picked up a copy anyway and the receptionist said my levels were out of the range but not to worry as the dr had looked at them and taking other factors into consideration everything ok

Here are the results, im in uk so hoping someone can help

Immunoglobulin A - 4.06. g/l. Range 0.8-2.8

Tissue transglutaminase IgA ab 0.873. u/mL. 0-10

So the immunoglobulin is elevated, does anybody know what this means?

Also the other one seems quite high within the range also?


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



GottaSki Mentor

With regard to Celiac Disease your high Total Serum IgA has no significance...it is run to assure your levels are sufficient to make the IgA based celiac antibody tests valid.  I don't know of any reasons for high IgA...perhaps others do.  

 

Because you have sufficient IgA the tTG-IgA performed should be accurate and is very low .873 is less than  1 -- thus negative for Celiac Disease.  

 

The hard part is knowing whether 6 weeks was enough time (after one year gluten-free) to make this test valid and should you request a complete celiac antibody panel.

 

Why did you remove gluten initially?  Did your health improve gluten-free?  Did symptoms return during the six week challenge?

 

Depending on the answers to these questions along with your desire to pursue further testing will decide your next step.

nvsmom Community Regular

Six weeks is a pretty short gluten challenge, 8-12 weeks is more the norm, so I agree that it could have affected your results. That is is pretty high negative result - only 0.14 higher would have classified you as a celiac.  :huh: I'm not sure if your high serum IgA could have caused that to be a bit high or not; conversely, low IgA is more common in celiacs (5%) and can cause false negative in that tTG IgA test.

 

It's too bad they only ran one celiac test.  If you are still on gluten you could ask for the tTG IgG, DGP IgA and IgG, EMA IgA, and even the older (and less sensitive) AGA IgA and IgG.

 

This report has more on testing, and on page 12 it shows that the tTG IgA has a sensitivity of 75-95%, so that means it misses 5-25% of celiacs: Open Original Shared Link

 

I don't know much about elevated IgA but I found the following here: Open Original Shared Link

 

IgA is mainly produced by plasma cells in mucosa-associated lymphoid tissue (MALT) that is widely distributed throughout the Peyer's patches and lamina propria of the gut.

Unusually for immunoglobulin, IgA activates complement by the alternative pathway.

Causes of increased IgA levels include:

  • gamma-A myeloma (M component)
  • chronic infections
  • chronic liver disease
  • rheumatoid arthritis with high titres of rheumatoid factor
  • SLE (occurs in some patients)
  • sarcoidosis (occurs in some patients)
  • Wiskott-Aldrich syndrome

 

If you feel better gluten-free, then you know at the very least that you have non-celiac gluten intolerance (NCGI) and possibly celiac disease. If you feel better, I hope you'll stay gluten-free in spite of what advice the doctor may give (many have no knowledge of NCGI yet).

 

Best wishes.

GottaSki Mentor

That is is pretty high negative result - only 0.14 higher would have classified you as a celiac.  :huh:

 

 

Did I read the range on the tTG wrong?

 

Looks like negative is zero to ten and the result posted was less than one.

nvsmom Community Regular

Oops! You are right, Lisa. I completely misread that... That will discount most of what I said too (about effect of high IgA on the test).

 

Sorry about that.

GottaSki Mentor

Oops! You are right, Lisa. I completely misread that... That will discount most of what I said too (about effect of high IgA on the test).

 

Sorry about that.

 

no worries...i thought maybe i was reading it wrong...it happens  :P

 

Note to SugarSpike:  Just because this one antibody test is negative it does not rule out Celiac Disease or Non-Celiac Gluten Sensitivity...more info is needed.

SugarSpike Newbie

Thanks for all the swift replies, good job I posted because I read that completely wrong aswell so I'm actually really low in the range!

I've tried searching why my immunoglobulin is high, have found the same as linked above so will look further into those, have also comes across candida causing that to be high, not sure though, but it's another thing i suspect I have that's has similar symptoms to celiac and if that's the case I have to give up gluten anyway.

I defiantly feel better without it and will be giving it up along with sugar from now on... Is gonna be a long road ahead I think :-(


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



Archived

This topic is now archived and is closed to further replies.


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      131,185
    • Most Online (within 30 mins)
      7,748

    wmkoehler
    Newest Member
    wmkoehler
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121.4k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • Kris2093u4
      Geography makes a difference.  I'm in the West and Trader Joe's gluten-free bread tastes great and is a better price than most gluten-free breads sold elsewhere in my area.  
    • JForman
      We have four children (7-14 yo), and our 7 year old was diagnosed with NCGS (though all Celiac labs were positive, her scope at 4 years old was negative so docs in the US won't call it celiac). We have started her on a Gluten Free diet after 3 years of major digestive issues and ruling out just about everything under the sun. Our home and kitchen and myself are all gluten-free. But I have not asked my husband/her dad or her other siblings to go completely gluten-free with us. They are at home, but not out of the home. This has led to situations when we are eating out where she has to consistently see others eating things she can't have and she has begun to say "Well, I can't have <fill in the blank>...stupid gluten."  How have you supported your gluten-free kiddos in the mental health space of this journey, especially young ones like her. I know it's hard for me as an adult sometimes to miss out, so I can't imagine being 7 and dealing with it! Any tips or ideas to help with this? 
    • Jane878
      By the time I was 5 I had my first auto0immune disorder, Migraine headaches, with auras to blind me, and vomiting, sensitivity to light and sound. I was 5 years old, and my stepfather would have pizza night, milling his own flour, making thick cheesy gluten pizza, that I would eat and the next day, I would have serious migraines, and my mother & stepfather did nothing about my medical problems. When I was 17 in my first year at college, I was diagnosed with my 2nd known auto-immune disorder, Meniere's disease. I was a elite athlete, a swimmer, and soccer player. And once again my parents didn't think anything of understanding why I had a disorder only older people get. Now after my mother passed from Alzheimer's disease she also suffered with living with gluten. She had a rash for 30 years that nobody could diagnose. She was itchy for 45 years total. My brother had a encapsulated virus explodes in his spleen and when this happened his entire intestines were covered with adhesions, scar tissue and he almost lost his life. He has 5 daughters, and when I finally was diagnosed after being pregnant and my body went into a cytokine storm, I lost my chance to have children, I ended up having Hashimoto's disease, Degenerative Disc disease, and my body started to shut down during my first trimester. I am 6ft tall and got down to 119lbs. My husband and I went to a special immunologist in Terrace, California. They took 17 vials of blood as we flew there for a day and returned home that evening. In 3 weeks, we had the answer, I have Celiac disease. Once this was known, only my father and husband made efforts to change their way of feeding me. At the family cabin, my stepfather & mother were more worried that I would ruin Thanksgiving Dinner. It wasn't until one of my cousins was diagnosed with Celiac disease. They finally looked into getting Gluten Free flour and taking measures to limit "gluten" in meals. He did nothing but ask for me to pay for my own food and wi-fi when I came to the cabin to stay after our house burned down. When he informed my mother, they proceeding to get into a physical fight and she ended up with a black eye. The is just more trauma for me. Sam had no interest in telling the truth about what he wanted. He lied to my mother that he had asked my husband if I could pay for "food" when he asked Geoffrey if I had money to pay for my wi-fi. My mother hates when he spends so much time on the computer so he lied and said I could pay for my own food. I will remind you I weighed 119lbs at this time. (At 6ft) that is a very sick looking person. Neither parent was worried about my weight, they just fought about how cheap my stepfather was. As my mother was diagnosed with Alzheimer's disease in 2014. He had her sign over the will to a trust and added his children. He had no testimonial capacity at the time, so she signed without proper papers. Making this Trust null and void. When I gave my brother my childhood home, my mother stated I would be getting an equal part of inheritance to the house on Race. It currently worth 2.0 million $. I got nothing, and my stepfather has since disowned me b/c of my claim and he knows that my mother would never have left it uneven between my biological brother and myself. She sat me and my husband down, as we lived at the Race Street house and treated and took care of it as our own. My brother took over b/c he was going through a horrific divorce and needed a home so he could get a better custody deal with his soon to be ex-wife who was a Assist DA for Denver. She used the girls against him, and he & I were the primary caregivers. We, Judd and I spent the most time with them pre the divorce. Once Judd moved into the house, he threw all of my mother, grandmother and my family heirlooms out to the Goodwill. Nobody told my mother about this as she was going through cancer treatment and had Alzheimer's disease in her mother and her sister. My stepfather and biological brother took advantage of this matter, as I called a "family council" that my brother just never could make it to at the last moment. All of the furnishing, kitchen ware, everything was in the house my brother just moved into. He had had 2 weddings, I chose to elope b/c my stepfather ruined my brother's first wedding by talking about his relationship with my brother in front of my dad and his entire family, insulting him and having my grandfather leave the ceremony. It was a disaster. My stepfather just plays dumb and blames my father for the slight. I was the only child not to have a wedding. So, my mother and stepfather never had to pay for a thing. My mother had had an agreement with my father he'd pay for college and all medical issues with their kids, myself and Judd. So truly my mother never had to pay for anything big for me in her entire life. I am looking for anyone that has had a similar story, where they grew up in a household that had a baker that regularly milled flour and ate gluten. What happened to you? DId you suffer from different auto-immune diseases b/c of living with a baker using "gluten" Please let me know. I have been looking into legal ways to get my stepfather to give me what my mother had promised, and he erased. Thank you for listening to my story. Jane Donnelly  
    • trents
      Possibly gluten withdrawal. Lot's of info on the internet about it. Somewhat controversial but apparently gluten plugs into the same neuro sensors as opiates do and some people get a similar type withdrawal as they do when quitting opiates. Another issue is that gluten-free facsimile flours are not fortified with vitamins and minerals as is wheat flour (in the U.S. at least) so when the switch is made to gluten-free facsimile foods, especially if a lot of processed gluten-free foods are being used as substitutes, vitamin and mineral deficiencies can result. There is also the possibility that she has picked up a virus or some but that is totally unrelated to going gluten-free.
    • Sheila mellors
      I asked about the new fruit and nut one and the Dietician said yes I could eat it safely. Hooe this helps
×
×
  • Create New...