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SpikeMoore

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SpikeMoore Apprentice

Hi Everyone

I am wondering what you think of a family history like this:

5 siblings

2 with junvenille insulin dependent diabetes

1 with epilepsy

1 died at 42 with undiagnosed liver disease, thought at the time to be infectious, but never diagnosed, had osteoporosis, anemia and the BM's described as pale, floating etc

1 niece with Down's syndrome

None diagnosed with celiac, but none tested either.

I am looking at a cluster of relatively rare things and finding them all in one family and wondering if gluten could be a common thread, but just manifest with different related condidtions in each person. Or am I just looking too hard?


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trents Grand Master

The one who died at 42 had several conditions common to celiacs: liver disease, floating BMs, osteoporosis, and anemia. 18 to 40+ percent of celiacs have elevated liver enzymes, which if allowed to go unchecked for a long enough time can cause permanent liver damage. Higher rates of diabetes is also associated with celiac disease.

nikki-uk Enthusiast

..and to add....although people with Downs Syndrome are more prone to celiac disease than the general population the fact that your niece has Downs does not increase your familial chance of having celiac disease. :)

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    • Dr. Gunn
      Exactly! Negative genetics can rule out celiac disease with close to 100% certainty. It takes tTg antibody testing and biopsy confirm the diagnosis in a genetically susceptible individual. 
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      What Dr. Gunn states is essentially true. It is a rule out measure. But be aware that to possess either of the two primary genes that have been identified with celiac disease (or both) doesn't necessarily mean that you have or will develop celiac disease. Almost 40% of the general population carries one or both but only about 1% of the general population will develop active celiac disease. It remains latent until triggered by some stress event which may or may not occur. So, there is a genetic component to celiac disease but there is also an epigenetic component. 
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