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I applied for an individual PPO because i got laid off of work and they denied me. I got a letter today stating that I wouldnt be covered by Blue Shield until I was symptom and treatment free for 5 years.........What is the point of the insurance then? How can I prove I am Symptom free, even though I am not. These insurance companies are getting ridiculous with choosing who they cover. Why dont they at least cover me and chrge a premium that is equal to the risk. Unbelievable. It isnt even an illnes that requires daily medication.

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I can't think of enough horrible things to say about the health insurance industry! I'm so sorry you are going through this.

Please keep asking to speak to whoever actually makes the decision--appeal left and right, and hire an attorney if you can (Edgar Snyder comes to mind, as this is a kind of malpractice).

Folks, this is a good reason NOT to get the endoscopy/biopsy/firm diagnosis--if a gluten-free diet works, you have your answer--and the insurance companies have no excuse to deny you coverage. (If the gluten-free diet doesn't work, you are back to square one, but then you have it on record that the gluten-free diet didn't work, so they will hopefully look further for answers for you, and you won't have the celiac label.)

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Gosh I'm sorry. Health insurance scares me for this very reason. I'm so scared I'll lose my job some day and be in this position. Can you get the continuing/COBRA coverage that's usually offered after losing a job? For some reason I thought there was a way to continue coverage without having to apply and deal with all the pre-existing condition stuff. But I might be making that up.

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I applied for an individual PPO because i got laid off of work and they denied me. I got a letter today stating that I wouldnt be covered by Blue Shield until I was symptom and treatment free for 5 years.........What is the point of the insurance then? How can I prove I am Symptom free, even though I am not. These insurance companies are getting ridiculous with choosing who they cover. Why dont they at least cover me and chrge a premium that is equal to the risk. Unbelievable. It isnt even an illnes that requires daily medication.

I had major health issues and was finally dxd with celiacs. After I was laid off I had to find my own insurance and was also denied coverage because of my history. (of course if the stupid Drs had listened to me we could have avoided my whole history but whatever) Anyhoo, it is standard to deny coverage with anyone who looks like they are high risk. But if you have had continuous coverage they have to offer you a high risk policy. They don't volunteer that info though. You have to ask for it. Even though they are required by law to offer it they won't tell you about it unless you ask. Contact your state's insurance regluation group and they can tell you what you need to know so you can talk inteligently with the insurance company. Then when they tell you to fill out apps and they will review you have to follow up with them. Every day. There is a time limit of I think 45 days. So if you go more than 45 days without coverage then they don't have to offer you a policy. The insurance industry is criminal.

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Gosh I'm sorry. Health insurance scares me for this very reason. I'm so scared I'll lose my job some day and be in this position. Can you get the continuing/COBRA coverage that's usually offered after losing a job? For some reason I thought there was a way to continue coverage without having to apply and deal with all the pre-existing condition stuff. But I might be making that up.

I had also heard that as long as you didn't let the coverage lapse in between coverages, you were fine. When I had switched coverage (before celiac) from my work to my husband's, I had several tests at an ENT. I had to send proof that my coverage had never lapsed. After that I had no problems.

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All insurances suck from what I can tell...I have had Aetna and Blue Cross/Blue Shield (current). Sometimes they pay for things and other times they dont. FOR THE SAME THING!!!! Like lab work.....

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You may qualify for insurance through a high risk pool available through your state. I know California has one and I believe many other state also have them.

Also check the availablity of insurance through your former employer using COBRA if you have not already done so.

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I too hate the insurance industry. Thankfully I do have full coverage through my job but its crazy. Our ER copay is 75 bucks..crazy!

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Yes, isn't US health care wonderful?

You should be eligible for COBRA for 1.5-3 years, why not sign up for that?

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That is why we need socialized medicine in this country..

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yeah saying I'm a celiac did horrible things to my life insurance premium.

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That is why we need socialized medicine in this country

This most definitely is not the answer for the US. Socialized medicine is much worse. You can't get into a doctor for months at a time, they tell you where you can go, just the same...good doctors do not want socialized medicine, they would never beable to get tests done for you.

I have heard many Canadians complain about it. Hospitals are not equipped to care for very sick patients, etc.

http://blog.acton.org/archives/2220-Will-S...-Canadians.html

What we need is some kind of a cap put on the insurance compaines, and we need doctors to not run needless tests, which also brings up the cost of health care.

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Since members of this forum probably read more medical stuff than any group not employed by the health care industry, I have a slightly off topic question. Has anyone seen any studies that evaluate medical innovation by medical system - i.e. government funded versus for profite, etc? The potential concern would be that with profits capped, companies would not think it worth the risk to to conduct research.

The extra tests, etc. that drive health care costs are partially influenced in the US by our general tendency to sue for any less than optimum outcome. I suspect that has a lot to do with doctors not wanting to diagnose celiac without a positive blood and a positive biopsy.

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What we need is some kind of a cap put on the insurance compaines, and we need doctors to not run needless tests, which also brings up the cost of health care.

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What about the fact that most health insurance companies USED to pay for just about every drug under the sun--then, when most people in this country actually believed that they NEEDED all those drugs, the HIC's said that they would only pay if said drug was on their formulary--and then the copays went up and up and up...

Synthroid used to be $4 for 30 pills. Now it's 5 times that much. Does it cost them 5 times to produce it? NO!

And what about all the elderly patients who are on 27 different medicines--how many of those medicines are necessary? Or how many of them are to mask side effects of other meds?

Insurance pays for vaccines--but not for titres to see if the patient is already immune, including the MMR, which gives lifetime immunity with one dose--but two doses are "required." And they don't pay a penny if you or your child has a terrible reaction to the vaccine.

They pay for antacids, H-2 blockers, thryoid meds, anxiety meds, insulin, anti-inflammatories, sleep meds, and all kinds of cortisone treatments (skin and pill form) to combat what we here all recognize as symptoms of gltuen toxicity, but then when you actually find out that you can't eat gluten (and can save them a bundle on prescriptions you no longer need), they deny you coverage. :ph34r:

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You may qualify for insurance through a high risk pool available through your state. I know California has one and I believe many other state also have them.

Also check the availablity of insurance through your former employer using COBRA if you have not already done so.

Call your past employer immediately about COBRA availability

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http://www.healthinsuranceinfo.net

Info site about each state's health insurance rules and regs.

My E.R. Co pay is $100 per visit -

I am in the insurance business - keep in mind that the lower the co pays and deductibles the higher the annual premium.

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I can't think of enough horrible things to say about the health insurance industry! I'm so sorry you are going through this.

Please keep asking to speak to whoever actually makes the decision--appeal left and right, and hire an attorney if you can (Edgar Snyder comes to mind, as this is a kind of malpractice).

Folks, this is a good reason NOT to get the endoscopy/biopsy/firm diagnosis--if a gluten-free diet works, you have your answer--and the insurance companies have no excuse to deny you coverage. (If the gluten-free diet doesn't work, you are back to square one, but then you have it on record that the gluten-free diet didn't work, so they will hopefully look further for answers for you, and you won't have the celiac label.)

Well......I am in insurance -- at the risk being unpopular I have to say that there's a lot of acturarial reasons

why an insurance company declines a "risk." Sometimes they'd like to write it at the higher premium but the State Dept. of Insurance is prohibiting them as the rate would be excessive and against public policy. All rates and rules are always approved by your State Dept of Insurance - so it's not necessarily the insurance company giving you the hard time.

Insurance is probably one of the only industries to allow "fair discrimination." This being said, an attorney will not take on a case such as this unless you are being denied coverage for your sex, marital status or religion. Health Insurance companies can deny based on health condition, maybe age too if you are eligible for Medicare - that's a grey area, and type of occupation/hazardous activities like skydiving

If an insurance company can prove actuarially to the State Dept of Insurance that they cannot make a profit in a "line" of insurance, they get permission from the state to decline or limit the coverage or just not write it at all.

You are absolutely correct about not pushing for a firm diagnosis - nothing on paper or in writing...however you can get snagged when you answer the question: Have you seen a doctor in the last 5 years? If you are still messing around with doctors because you have not been feeling well and you are going from Dr. to Dr. for an answer, the response to that question is probably going to be "yes."

My best advices are these:

1a) Always, always take COBRA if offered to you. If your employer is too small for COBRA law then you have a problem....always find out before you take a new job if the employer is subject to COBRA law or not.

1b) Try to get coverage off of your spouse's policy at work, if your spouse works. If your spouse works part-time and only full-timers get health insurance, then perhaps your spouse should increase his/her hours in order to secure health insurance for your family. However, a Pre-existing condition may apply there too.

1c) Never let a lapse happen (see your state guide at site: http://www.healthinsuranceinfo.net)

1d) Group policies have more flexible rules than personal policies do. So always stay with the group or get COBRA from the group.

2) Never apply directly to the insurance company, if you can help it. Go through an expert agent who can

assist you in answering the tricky questions and/or the agent can assist when they know what

health insurance companies are more "with it" than other companies when it comes to celiac.

3a) And the ever unpopular: Keep in mind that insurance companies are not charitable organizations and are only in business for profit, like any other business. Unfortunately, there is a "blur" because the "Blues" used to be non-profit in many states. If insurance companies don't understand a "risk", like celiac, they'll put up

obstacles to coverage or decline outright. If you are not symptomatic, then take their coverage

with the waiting period if you feel that nothing "celiac" will happen in those 5 years. You can't come down with celiac again if you are on a gluten-free diet, etc. So what then exactly is "Blue" excluding in coverage? Any other new health condition shouldn't be attributed to celiac....that would be unlikely....I don't feel that any doctor would

connect a dot between A and B and write that down as an official diagnosis, especially when many doctors

don't know celiac when it's staring them in the face. Let's take advantage of their ignorance.

3b) Also unpopular is the fact that health insurance is not required by law, so therefore, insurance companies do not have a legal obligation to provide it to everyone - like assigned risk auto or workers' compensation, no matter what your health condition is.

I have had the unfortunate experience to know people who neglected to take COBRA and developed cancer while uninsured. These people have no insurance and no way to get it. They have had to sell their home to pay for the cancer treatments (and move in with their son). The sad fact is that they had the opportunity to take COBRA, and had the money for COBRA premiums, but still refused it. I can't stress enough to people that the consequences for not taking health coverage are high. It is the most expensive financial gamble you'll make. I'd like to say the situation can be fixed, but just like many things in life, it can't be fixed once you make a bad decision. A lot of times in life we "pay" for bad decisions. When you don't take COBRA, it's not the insurance industry's fault. COBRA was put into effect to alleviate the "pre existing" condition consequences.

4) Apply to several health insurance companies at once and "shop" it.

5) On applications, do not volunteer information or lengthy explanations

6) If you have insurance issues and would like to complain:

1) Make a written appeal to the insurance company - if they don't satisfy you then,

2) Make a written complaint to your State Dept. of Insurance

7) Please read the info found in: http://www.healthinsuranceinfo.net before doing anything rash (#6 above)

8) Some states have more insurance consumer protection laws than others - again, the state has a lot to do with it too.

9) Contact your state legislators (not federal because the federal govt. does not regulate insurance....yet). Tell your state legislators about how you feel that you get denied coverage.

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I work for a doctor, I am on the inside looking out. It's the health industry in general, not the doctors causing the problem. It's like others have said, doctors order tests to cover themselves, just to protect themselves. Like with Medicare, the doctor is told what he must charge, it's not up to the doctor, Medicare sets the amount. With HMO's, the doctor, hospitals, etc, must accept whatever the insurance pays them.

I was prescribed physical therapy, I just received the EOB for the first visit from my insurance. The theripist charged them $290, he received $60, including my copay.

I work for an optometrist, we have one insurance company that pays him $15 for the visit, most of those patients do not have copays, and this insurance is taking over. There is a lot of overhead in a doctor's office, plus staff...with 2 paitents an hour, that's $30....this is what is raising the cost of health prices. It's not the doctors causing the problems.

They pay for antacids, H-2 blockers, thryoid meds, anxiety meds, insulin, anti-inflammatories, sleep meds, and all kinds of cortisone treatments (skin and pill form) to combat what we here all recognize as symptoms of gltuen toxicity, but then when you actually find out that you can't eat gluten (and can save them a bundle on prescriptions you no longer need), they deny you coverage.
This is so true, but the pharmacutical industry doesn't want celiac's to be diagnosed, they want us to think we need all these meds! That's why there isn't more research in celiac/gluten intolerance...it doesn't pad the pockets of the pharmacutical industry. Most research is backed by this industry. Celiac disease does not make them wealthy.

It's a never ending battle!!!

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    Jefferson Adams
    Celiac.com 06/18/2018 - Celiac disease has been mainly associated with Caucasian populations in Northern Europe, and their descendants in other countries, but new scientific evidence is beginning to challenge that view. Still, the exact global prevalence of celiac disease remains unknown.  To get better data on that issue, a team of researchers recently conducted a comprehensive review and meta-analysis to get a reasonably accurate estimate the global prevalence of celiac disease. 
    The research team included P Singh, A Arora, TA Strand, DA Leffler, C Catassi, PH Green, CP Kelly, V Ahuja, and GK Makharia. They are variously affiliated with the Division of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Boston, Massachusetts; Lady Hardinge Medical College, New Delhi, India; Innlandet Hospital Trust, Lillehammer, Norway; Centre for International Health, University of Bergen, Bergen, Norway; Division of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Boston, Massachusetts; Gastroenterology Research and Development, Takeda Pharmaceuticals Inc, Cambridge, MA; Department of Pediatrics, Università Politecnica delle Marche, Ancona, Italy; Department of Medicine, Columbia University Medical Center, New York, New York; USA Celiac Disease Center, Columbia University Medical Center, New York, New York; and the Department of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, India.
    For their review, the team searched Medline, PubMed, and EMBASE for the keywords ‘celiac disease,’ ‘celiac,’ ‘tissue transglutaminase antibody,’ ‘anti-endomysium antibody,’ ‘endomysial antibody,’ and ‘prevalence’ for studies published from January 1991 through March 2016. 
    The team cross-referenced each article with the words ‘Asia,’ ‘Europe,’ ‘Africa,’ ‘South America,’ ‘North America,’ and ‘Australia.’ They defined celiac diagnosis based on European Society of Pediatric Gastroenterology, Hepatology, and Nutrition guidelines. The team used 96 articles of 3,843 articles in their final analysis.
    Overall global prevalence of celiac disease was 1.4% in 275,818 individuals, based on positive blood tests for anti-tissue transglutaminase and/or anti-endomysial antibodies. The pooled global prevalence of biopsy-confirmed celiac disease was 0.7% in 138,792 individuals. That means that numerous people with celiac disease potentially remain undiagnosed.
    Rates of celiac disease were 0.4% in South America, 0.5% in Africa and North America, 0.6% in Asia, and 0.8% in Europe and Oceania; the prevalence was 0.6% in female vs 0.4% males. Celiac disease was significantly more common in children than adults.
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    Source:
    Clin Gastroenterol Hepatol. 2018 Jun;16(6):823-836.e2. doi: 10.1016/j.cgh.2017.06.037.

    Jefferson Adams
    Celiac.com 06/16/2018 - Summer is the time for chips and salsa. This fresh salsa recipe relies on cabbage, yes, cabbage, as a secret ingredient. The cabbage brings a delicious flavor and helps the salsa hold together nicely for scooping with your favorite chips. The result is a fresh, tasty salsa that goes great with guacamole.
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    Dr. Ron Hoggan, Ed.D.
    Celiac.com 06/15/2018 - There seems to be widespread agreement in the published medical research reports that stuttering is driven by abnormalities in the brain. Sometimes these are the result of brain injuries resulting from a stroke. Other types of brain injuries can also result in stuttering. Patients with Parkinson’s disease who were treated with stimulation of the subthalamic nucleus, an area of the brain that regulates some motor functions, experienced a return or worsening of stuttering that improved when the stimulation was turned off (1). Similarly, stroke has also been reported in association with acquired stuttering (2). While there are some reports of psychological mechanisms underlying stuttering, a majority of reports seem to favor altered brain morphology and/or function as the root of stuttering (3). Reports of structural differences between the brain hemispheres that are absent in those who do not stutter are also common (4). About 5% of children stutter, beginning sometime around age 3, during the phase of speech acquisition. However, about 75% of these cases resolve without intervention, before reaching their teens (5). Some cases of aphasia, a loss of speech production or understanding, have been reported in association with damage or changes to one or more of the language centers of the brain (6). Stuttering may sometimes arise from changes or damage to these same language centers (7). Thus, many stutterers have abnormalities in the same regions of the brain similar to those seen in aphasia.
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    Whatever the reason that stuttering has not been reported in the medical literature in association with gluten ingestion, a number of personal disclosures and comments suggesting a connection between gluten and stuttering can be found on the Internet. Abid Hussain, in an article about food allergy and stuttering said: “The most common food allergy prevalent in stutterers is that of gluten which has been found to aggravate the stutter” (10). Similarly, Craig Forsythe posted an article that includes five cases of self-reporting individuals who believe that their stuttering is or was connected to gluten, one of whom also experiences stuttering from foods containing yeast (11). The same site contains one report of a stutterer who has had no relief despite following a gluten free diet for 20 years (11). Another stutterer, Jay88, reports the complete disappearance of her/his stammer on a gluten free diet (12). Doubtless there are many more such anecdotes to be found on the Internet* but we have to question them, exercising more skepticism than we might when reading similar claims in a peer reviewed scientific or medical journal.
    There are many reports in such journals connecting brain and neurological ailments with gluten, so it is not much of a stretch, on that basis alone, to suspect that stuttering may be a symptom of the gluten syndrome. Rodney Ford has even characterized celiac disease as an ailment that may begin through gluten-induced neurological damage (13) and Marios Hadjivassiliou and his group of neurologists and neurological investigators have devoted considerable time and effort to research that reveals gluten as an important factor in a majority of neurological diseases of unknown origin (14) which, as I have pointed out previously, includes most neurological ailments.
    My own experience with stuttering is limited. I stuttered as a child when I became nervous, upset, or self-conscious. Although I have been gluten free for many years, I haven’t noticed any impact on my inclination to stutter when upset. I don’t know if they are related, but I have also had challenges with speaking when distressed and I have noticed a substantial improvement in this area since removing gluten from my diet. Nonetheless, I have long wondered if there is a connection between gluten consumption and stuttering. Having done the research for this article, I would now encourage stutterers to try a gluten free diet for six months to see if it will reduce or eliminate their stutter. Meanwhile, I hope that some investigator out there will research this matter, publish her findings, and start the ball rolling toward getting some definitive answers to this question.
    Sources:
    1. Toft M, Dietrichs E. Aggravated stuttering following subthalamic deep brain stimulation in Parkinson’s disease--two cases. BMC Neurol. 2011 Apr 8;11:44.
    2. Tani T, Sakai Y. Stuttering after right cerebellar infarction: a case study. J Fluency Disord. 2010 Jun;35(2):141-5. Epub 2010 Mar 15.
    3. Lundgren K, Helm-Estabrooks N, Klein R. Stuttering Following Acquired Brain Damage: A Review of the Literature. J Neurolinguistics. 2010 Sep 1;23(5):447-454.
    4. Jäncke L, Hänggi J, Steinmetz H. Morphological brain differences between adult stutterers and non-stutterers. BMC Neurol. 2004 Dec 10;4(1):23.
    5. Kell CA, Neumann K, von Kriegstein K, Posenenske C, von Gudenberg AW, Euler H, Giraud AL. How the brain repairs stuttering. Brain. 2009 Oct;132(Pt 10):2747-60. Epub 2009 Aug 26.
    6. Galantucci S, Tartaglia MC, Wilson SM, Henry ML, Filippi M, Agosta F, Dronkers NF, Henry RG, Ogar JM, Miller BL, Gorno-Tempini ML. White matter damage in primary progressive aphasias: a diffusion tensor tractography study. Brain. 2011 Jun 11.
    7. Lundgren K, Helm-Estabrooks N, Klein R. Stuttering Following Acquired Brain Damage: A Review of the Literature. J Neurolinguistics. 2010 Sep 1;23(5):447-454.
    8. [No authors listed] Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 43-1988. A 52-year-old man with persistent watery diarrhea and aphasia. N Engl J Med. 1988 Oct 27;319(17):1139-48
    9. Molteni N, Bardella MT, Baldassarri AR, Bianchi PA. Celiac disease associated with epilepsy and intracranial calcifications: report of two patients. Am J Gastroenterol. 1988 Sep;83(9):992-4.
    10. http://ezinearticles.com/?Food-Allergy-and-Stuttering-Link&id=1235725 
    11. http://www.craig.copperleife.com/health/stuttering_allergies.htm 
    12. https://www.celiac.com/forums/topic/73362-any-help-is-appreciated/
    13. Ford RP. The gluten syndrome: a neurological disease. Med Hypotheses. 2009 Sep;73(3):438-40. Epub 2009 Apr 29.
    14. Hadjivassiliou M, Gibson A, Davies-Jones GA, Lobo AJ, Stephenson TJ, Milford-Ward A. Does cryptic gluten sensitivity play a part in neurological illness? Lancet. 1996 Feb 10;347(8998):369-71.

    Jefferson Adams
    Celiac.com 06/14/2018 - Refractory celiac disease type II (RCDII) is a rare complication of celiac disease that has high death rates. To diagnose RCDII, doctors identify a clonal population of phenotypically aberrant intraepithelial lymphocytes (IELs). 
    However, researchers really don’t have much data regarding the frequency and significance of clonal T cell receptor (TCR) gene rearrangements (TCR-GRs) in small bowel (SB) biopsies of patients without RCDII. Such data could provide useful comparison information for patients with RCDII, among other things.
    To that end, a research team recently set out to try to get some information about the frequency and importance of clonal T cell receptor (TCR) gene rearrangements (TCR-GRs) in small bowel (SB) biopsies of patients without RCDII. The research team included Shafinaz Hussein, Tatyana Gindin, Stephen M Lagana, Carolina Arguelles-Grande, Suneeta Krishnareddy, Bachir Alobeid, Suzanne K Lewis, Mahesh M Mansukhani, Peter H R Green, and Govind Bhagat.
    They are variously affiliated with the Department of Pathology and Cell Biology, and the Department of Medicine at the Celiac Disease Center, New York Presbyterian Hospital/Columbia University Medical Center, New York, USA. Their team analyzed results of TCR-GR analyses performed on SB biopsies at our institution over a 3-year period, which were obtained from eight active celiac disease, 172 celiac disease on gluten-free diet, 33 RCDI, and three RCDII patients and 14 patients without celiac disease. 
    Clonal TCR-GRs are not infrequent in cases lacking features of RCDII, while PCPs are frequent in all disease phases. TCR-GR results should be assessed in conjunction with immunophenotypic, histological and clinical findings for appropriate diagnosis and classification of RCD.
    The team divided the TCR-GR patterns into clonal, polyclonal and prominent clonal peaks (PCPs), and correlated these patterns with clinical and pathological features. In all, they detected clonal TCR-GR products in biopsies from 67% of patients with RCDII, 17% of patients with RCDI and 6% of patients with gluten-free diet. They found PCPs in all disease phases, but saw no significant difference in the TCR-GR patterns between the non-RCDII disease categories (p=0.39). 
    They also noted a higher frequency of surface CD3(−) IELs in cases with clonal TCR-GR, but the PCP pattern showed no associations with any clinical or pathological feature. 
    Repeat biopsy showed that the clonal or PCP pattern persisted for up to 2 years with no evidence of RCDII. The study indicates that better understanding of clonal T cell receptor gene rearrangements may help researchers improve refractory celiac diagnosis. 
    Source:
    Journal of Clinical Pathologyhttp://dx.doi.org/10.1136/jclinpath-2018-205023

    Jefferson Adams
    Celiac.com 06/13/2018 - There have been numerous reports that olmesartan, aka Benicar, seems to trigger sprue‐like enteropathy in many patients, but so far, studies have produced mixed results, and there really hasn’t been a rigorous study of the issue. A team of researchers recently set out to assess whether olmesartan is associated with a higher rate of enteropathy compared with other angiotensin II receptor blockers (ARBs).
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    To get solid data on the issue, the team conducted a cohort study among ARB initiators in 5 US claims databases covering numerous health insurers. They used Cox regression models to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for enteropathy‐related outcomes, including celiac disease, malabsorption, concomitant diagnoses of diarrhea and weight loss, and non‐infectious enteropathy. In all, they found nearly two million eligible patients. 
    They then assessed those patients and compared the results for olmesartan initiators to initiators of other ARBs after propensity score (PS) matching. They found unadjusted incidence rates of 0.82, 1.41, 1.66 and 29.20 per 1,000 person‐years for celiac disease, malabsorption, concomitant diagnoses of diarrhea and weight loss, and non‐infectious enteropathy respectively. 
    After PS matching comparing olmesartan to other ARBs, hazard ratios were 1.21 (95% CI, 1.05‐1.40), 1.00 (95% CI, 0.88‐1.13), 1.22 (95% CI, 1.10‐1.36) and 1.04 (95% CI, 1.01‐1.07) for each outcome. Patients aged 65 years and older showed greater hazard ratios for celiac disease, as did patients receiving treatment for more than 1 year, and patients receiving higher cumulative olmesartan doses.
    This is the first comprehensive multi‐database study to document a higher rate of enteropathy in olmesartan initiators as compared to initiators of other ARBs, though absolute rates were low for both groups.
    Source:
    Alimentary Pharmacology & Therapeutics