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Thoughts on Lab Results/ Diagnosis


AnnaG

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AnnaG Newbie

Hi All- 

I wanted to get some opinions on a potential Celiac diagnosis. I have pretty frequent lower abdominal pain, and recently broke out in a SUPER itchy rash on my wrist that my doc diagnosed as Dermatitis Herpetiformis. 

Blood results: 

abnormal but weak IGE (true allergy) to wheat 

AntiGliadin IgG @ 15 (low, but exist)

Tested positive for both DQ2 & DQ8

I think I clearly need to avoid gluten, but how do I know if I have celiac? A slight gluten allergy and celiac require totally different lifestyle changes... 

Thanks! 

 


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cyclinglady Grand Master
(edited)

An endoscopy to obtain small intestinal biopsies or a skin punch biopsy are the gold standards for obtaining a celiac disease diagnosis.  Your blood test result is not common and just having the celiac genes is used to rule out but not diagnose celiac disease.  That is because 30% (that is a ton of people) carries the genes but only a few of those go on to develop celiac disease or DH.  Allergy testing is iffy.  Did you also have the TTG IgA, TTG IgG and DGP IgA tests?  Did they test your Immunoglobulin A?  

I think you need a second opinion and more research.  It is obvious that you are not sold on this diagnosis.  Get to a dermatologist or Gastroenterologist.  If you decide to go this route, stay on gluten.  This is critical as all celiac disease testing, even the skin biopsies, require you to be on a full gluten diet.  

Start here to learn more:

https://celiac.org/about-celiac-disease/related-conditions/dermatitis-herpetiformis/

https://celiac.org/about-celiac-disease/screening-and-diagnosis/screening/

https://celiac.org/about-celiac-disease/screening-and-diagnosis/diagnosis/

https://www.healthline.com/health/allergies/rast-test-vs-skin-test#when-to-seek-help

Edited by cyclinglady

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    • trents
      So the tTG-IGA at 28 is positive for celiac disease. There are some other medical conditions that can cause elevated tTG-IGA but this is unlikely. There are some people for whom the dairy protein casein can cause this but by far the most likely cause is celiac disease. Especially when your small bowel lining is "scalloped". Your Serum IGA 01 (aka, "total IGA") at 245 mg/dl is within normal range, indicating you are not IGA deficient. But I also think it would be wise to take your doctor's advice about the sucraid diet and avoiding dairy . . . at least until you experience healing and your gut has had a chance to heal, which can take around two years. After that, you can experiment with adding dairy back in and monitor symptoms. By the way, if you want the protein afforded by dairy but need to avoid casein, you can do so with whey protein powder. Whey is the other major protein in dairy.
    • jenniber
      hi, i want to say thank you to you and @trents   . after 2 phone calls to my GI, her office called me back to tell me that a blood test was “unnecessary” and that we should “follow the gold standard” and since my biopsy did not indicate celiac, to follow the no dairy and sucraid diet. i luckily have expendable income and made an appt for the labcorp blood test that day. i just got my results back and it indicates celiac disease i think 😭   im honestly happy bc now i KNOW and i can go gluten free. and i am SO MAD at this doctor for dismissing me for a simple blood test that wouldn’t have cost her anything !!!!!!!!!!! im sorry, im so emotional right now, i have been sick my whole life and never knew why, i feel so much better already   my results from labcorp:   Celiac Ab tTG TIgA w/Rflx Test Current Result and Flag Previous Result and Date Units Reference Interval t-Transglutaminase (tTG) IgA 01 28 High U/mL 0-3 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. Immunoglobulin A, Qn, Serum 01 245 mg/dL 87-352
    • JoJo0611
      Thank you this really helped. 
    • Samanthaeileen1
      Okay that is really good to know. So with that being positive and the other being high it makes sense she diagnosed her even without the endoscopy. So glad we caught it early. She had so many symptoms though that to me it was clear something was wrong.   yeah I think we had better test us and the other kids as well. 
    • GlorietaKaro
      One doctor suggested it, but then seemed irritated when I asked follow-up questions. Oh well—
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