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Negative Celiac Panel Results, But Still Can Have Celiac?


mama2two

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mama2two Enthusiast

My husband wanted to post a question asking if people ever get false results from a celiac panel, because his was negative, but he is still having problems and has had a positive response from following the diet for only a couple weeks. I told him that I thought that people are often told they have a negative panel, then later they find out they do have celiac. He is considering testing with enterolab. SO, anyone really have celiac, but get a negative result on the celiac serum panel?


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happygirl Collaborator

Clinically:

From Open Original Shared Link

Seronegative celiac disease

Both the anti-tTG and the EMA titers correlate with the severity of villous atrophy [26-29]. As a result in the presence of partial villous atrophy either antibody may be negative. In addition the mode of presentation of the celiac disease, i.e. presence of silent or subclinical celiac disease may be associated with a negative EMA

Real life:

A Celiac friend of mine had a friend that I knew. My Celiac friend urged her friend to be tested by a knowledgable GI. Her panel was negative, but the doctor was concerned enough that she performed a biopsy. She was positive for Celiac.

So yes, it can happen.

The other thing to consider is that its not "true" Celiac in the terms of how the medical community currently defines it, but is still a non-gluten sensitivity.

aikiducky Apprentice

I don't remember what the actual percentage was but it was around 30% I think, of adults who have negative blood results but turn out to have positive biopsies. So yes, it's possible.

Pauliina

ravenwoodglass Mentor
My husband wanted to post a question asking if people ever get false results from a celiac panel, because his was negative, but he is still having problems and has had a positive response from following the diet for only a couple weeks. I told him that I thought that people are often told they have a negative panel, then later they find out they do have celiac. He is considering testing with enterolab. SO, anyone really have celiac, but get a negative result on the celiac serum panel?

I am one of the 30% who don't show up on blood work. No one ever told me about the diet. I was very sick for 15 years, the last five years before I was diagnosed were very costly. We averaged 17 thousand dollars a year for my copays on drugs, doctor visits and testing. But the cost on my health was far more. Even after my Allergist diagnosed me and I had a great deal of relief from the diet my GI wanted more proof. He had me do a gluten challenge for 3 days before my biopsy. The day of the biopsy found me bleeding heavily from the challenge and in so much pain that I could not get up from the floor of the bathroom. I finally got my firm diagnosis but it almost killed me.

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    • par18
      Thanks for the reply. 
    • Scott Adams
      What you’re describing is actually very common, and unfortunately the timing of the biopsy likely explains the confusion. Yes, it is absolutely possible for the small intestine to heal enough in three months on a strict gluten-free diet to produce a normal or near-normal biopsy, especially when damage was mild to begin with. In contrast, celiac antibodies can stay elevated for many months or even years after gluten removal, so persistently high antibody levels alongside the celiac genes and clear nutrient deficiencies strongly point to celiac disease, even if you don’t feel symptoms. Many people with celiac are asymptomatic but still develop iron and vitamin deficiencies and silent intestinal damage. The lack of immediate symptoms makes it harder emotionally, but it doesn’t mean gluten isn’t harming you. Most specialists would consider this a case of celiac disease with a false-negative biopsy due to early healing rather than “something else,” and staying consistently gluten-free is what protects you long-term—even when your body doesn’t protest right away.
    • Scott Adams
      Yes, I meant if you had celiac disease but went gluten-free before screening, your results would end up false-negative. As @trents mentioned, this can also happen when a total IGA test isn't done.
    • Seaperky
      I found at Disney springs and Disney they have specialist that when told about dietary restrictions they come and talk to you ,explain cross contamination measures tsken and work with you on choices. Its the one place I dont worry once I've explained I have celiac disease.  Thier gluten free options are awesome.
    • Churley
      Have you tried Pure Encapsulations supplements? This is a brand my doctor recommends for me. I have no issues with this brand.
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