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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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    • 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—
    • trents
      @GlorietaKaro, your respiratory reactions to gluten make me wonder if there might also be an allergic (anaphylaxis) component at work here.
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