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 Celiac.com!
    eNewsletter
    Donate

Can Medication Affect Test Results? Labs?


kelliac

Recommended Posts

kelliac Rookie

Does anyone know if prednisone, remicade and/or imuran can affect labs? What about endoscopy/biopsies? If those drugs suppress the immune system, do they make the villi appear normal (albeit temporarily).

Link to comment
Share on other sites
  • 4 years later...

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



Celiac.com Sponsor (A8-M):



kuunami Newbie

Does anyone know if prednisone, remicade and/or imuran can affect labs? What about endoscopy/biopsies? If those drugs suppress the immune system, do they make the villi appear normal (albeit temporarily).

I've been asking this question everywhere but nobody seems to have an answer. If somebody knows the answer it would really help me out.

Link to comment
Share on other sites
Looking for answers Contributor

My guess is that they would. Have you asked your doctor?

Link to comment
Share on other sites
kuunami Newbie

My guess is that they would. Have you asked your doctor?

My doctor had me take a celiac panel and many other blood tests because of the chronic itching and rash that I've been having knowing that I'm on prednisone. So I'm guessing that she either didn't think it could affect the results, didn't know, or didn't care. The results for everything came back negative but now I'm not sure if I can trust the results because of the prednisone. I'm having trouble trusting doctors because it seems that when they don't know the answer to something they just brush you off.

Link to comment
Share on other sites
mushroom Proficient

To the best of my knowledge, speaking strictly as a layperson, taking prednisone, Remicade, or Imuran, would not affect your anitibody tests. As they are all anti-inflammatory and immunusupressant, they would affect the levels of inflammation in your body (on biopsy), and would lower the results of a C-reactive Protein test (CRP) which measures inflammation levels in the body by blood test. But I do not believe that these drugs can suppress the gluten antibodies or magically make villi regenerate. I may be wrong about the antibodies :(

Link to comment
Share on other sites
nasalady Contributor

Does anyone know if prednisone, remicade and/or imuran can affect labs? What about endoscopy/biopsies? If those drugs suppress the immune system, do they make the villi appear normal (albeit temporarily).

Hi kelliac,

My gastroenterologist gave me a clinical diagnosis of celiac disease even though my tests were negative (blood work and biopsy). I have the HLA DQ8 marker, reacted very strongly to a gluten challenge, and have family members with celiac disease, including 3 of my 5 grandchildren. He said that my prednisone and Imuran would suppress antibody production and allow my villi to re-generate.

I guess the bottom line is that we need to listen to our bodies. How do you feel when you eat gluten? How do you feel when you don't? If you feel better gluten free, then you have your answer! It doesn't really matter whether they call it celiac disease or gluten intolerance because the treatment is the same for both: the gluten free diet!

Good luck with everything!

JoAnn

Link to comment
Share on other sites
  • 2 weeks later...
kuunami Newbie

To the best of my knowledge, speaking strictly as a layperson, taking prednisone, Remicade, or Imuran, would not affect your anitibody tests. As they are all anti-inflammatory and immunusupressant, they would affect the levels of inflammation in your body (on biopsy), and would lower the results of a C-reactive Protein test (CRP) which measures inflammation levels in the body by blood test. But I do not believe that these drugs can suppress the gluten antibodies or magically make villi regenerate. I may be wrong about the antibodies :(

Thank you for your reply, you've been very helpful. The first time that I took the blood test I had been on a gluten free diet for quite sometime but was still having symptoms so I thought that perhaps I was being exposed to gluten but not realizing it. That was before I knew that you have to be consuming gluten regularly for the test to be accurate. I also wasn't sure about how prednisone would effect the results but you cleared that up. I'm planning to retake the celiac panel because at this point I've had roughly 3 months of consistent gluten exposure in my diet. If the test comes back negative again I'll have some piece of mind knowing that perhaps celiac is not the cause of my itch and rash.

Link to comment
Share on other sites

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



Celiac.com Sponsor (A8-M):



mushroom Proficient

Please do not take what I said as gospel - I was only expressing an opinion on the basis of little research. I would seek further opinion on whether these drugs suppress antibodies. Since I made that post I have read others who think that they do :o Please be aware that there are posts on here supported by medical research and other posts expressing the poster's opinion which posts should be verified with further research before being relied upon. :)

Link to comment
Share on other sites

Archived

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


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      121,210
    • Most Online (within 30 mins)
      7,748

    Chelsi
    Newest Member
    Chelsi
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      120.3k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • Kirbyqueen
      Still dealing with this rash on my legs. I've eliminated ringworm (through use of topical ointments). And I also know it's not shingles, as I've never had chickenpox before and I'm still fairly young. Through a lot of online research, I'm leaning more towards dermatitis herpetiformis, eczema, or psoriasis. I've actually got a doctor's appointment in May (finally got some insurance) and I'm going to bring it up then. I'm feeling really hopeful and excited to maybe be getting some relief soon.   Big thanks to everyone for the suggestions and positive thoughts!
    • trents
      You have three celiac disease specific antibody tests that are positive: Endomysial  Antibody IGA (aka, EMA), tTG-IGA, and tTG_IGG. Furthermore, your Immunoglobulin A at 55 is low, meaning you are IGA deficient. This one is not an antibody test for celaic disease per se but a measure of "total IGA" levels and if low (yours is low) it can suppress the individual antibody scores and even cause false negatives. So, yes, it definitely looks like you have celiac disease.   Do not yet begin a gluten free diet as your physician may refer you to a GI doc for an endoscopy/biopsy of the small bowel lining for confirmation of the antibody testing. This may help:   
    • Bayb
      Hi, I received my labs via email yesterday and have not heard back from my doctor yet. Can anyone tell me if these results indicate I have Celiac?      Endomysial Antibody IgAPositive  Ft-Transglutaminase (tTG) IgA6  H0-3 (U/mL) - Negative 0 - 3 - Weak Positive 4 - 10 - Positive >10 - Tissue Transglutaminase (tTG) has been identified as the endomysial antigen. Studies have demonstrated that endomysial IgA antibodies have over 99% specificity for gluten-sensitive enteropathy. FImmunoglobulin A, Qn, Serum55  L87-352 (mg/dL) Ft-Transglutaminase (tTG) IgG183  H0-5 (U/mL) - Negative 0 - 5 - Weak Positive 6 - 9 - Positive >9
    • Aussienae
      Mine is definitely triggered by inflammation and stress! I do also have arthritis in my spine, but the pain is more in my pelvic area. Im sure i have other food intolerances or other autoimmune isues but the more I focus on it and see doctor after doctor, it just gets worse.  Best thing is get of Gluten! (I also avoid lactose). Try to limit stress and anything that causes inflammation in your body.
    • ButWhatCanIEat
      Good morning,   I got an email about replies to this post. Some of my doctors had blamed a slipped disc for the pain I had and that contributes, but after meeting with a gastroenterologist AGAIN and trying some lifestyle modifications, I found out I have IBS and can't tolerate corn or excessive fructose to any degree. Cutting out corn AFTER having cut out all gluten containing products was a real pain but I feel much better now!
×
×
  • Create New...