Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Is It Possible To Have Inaccurate Biopsy?


lharper

Recommended Posts

lharper Newbie

My daughter was diagnosed with Celiac disease in November of 2008. It started because she has Type 1 Diabetes and I asked them to test her for Celiac due to some symptoms she was showing. Well, the initial blood work came back and her Ttg level was greater than 100. This was followed up by a biopsy that they said confirmed the diagnosis. Well, at the 6 month follow up they ran her blood work and it came back that her Ttg was at 1.2 Even the doctor was a little surprised it had came down that fast. I know the chances are she really does have Celiac and I accept that, but the fact that it came down so fast made me wonder if it is at all possible that the original blood test/biopsy could have been wrong and/or could she have something else and not Celiac? I just would hate for her to have to be gluten-free for the rest of her life for nothing... thanks!

Leanne


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



lovegrov Collaborator

It's my understanding that Ttg can come down pretty darn fast, particularly in a child. I was in my 40s and mine went from 200 to below 20 in less than 6 months.

It's HIGHLY unlikely that both the blood test and the biopsy would be false positive. And if her symptoms got better, that just adds to the evidence.

I'm not a doctor, but I'd say she has celiac disease.

richard

lharper Newbie

Right, I am pretty sure that she does have Celiac as well. But I had read so many posts on here previously about how long it usually takes for the Ttg to come down so it kind of made me wonder. -l- I guess a little wishful thinking on my part.

Fiddle-Faddle Community Regular

If she has been gluten-free for the last 6 months, then her TtG is SUPPOSED to come down.

In fact, I have always read on this site that if you have been gluten-free for more than a week, your blood tests will likely be a false negative.

If you are not eating gluten, you will not be producing antibodies against it, and you will be unlikely to be producing gluten-induced auto-antibodies.

The gluten-free lifestyle is getting easier and easier, and I really think that things will continue to get even better, as more and more people are finally being diagnosed.

If it makes you feel any better about things, when we challenged my middle kid and gave him gluten, he was crying (from the stomach pain) on the toilet a few hours later, and he said, "I never want to eat gluten again!"

He was 9 years old. He has never even wanted to cheat since then.

It helps that he knows that I will (easily) find a gluten-free recipe for anything he sees that he would like to eat, and within a week, I'll make it for him if he asks.

tarnalberry Community Regular

generally, it's more likely that someone having a hard time lowering their antibodies is going to post them. so, you've got a skewed sample. and some of us never have gotten a retest.

ravenwoodglass Mentor

No the original tests were not wrong. You are doing a great job of keeping her gluten free! Keep it up.

Archived

This topic is now archived and is closed to further replies.

  • Celiac.com Sponsor (A19):
  • Member Statistics

    • Total Members
      133,159
    • Most Online (within 30 mins)
      7,748

    Greymo
    Newest Member
    Greymo
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):
  • Forum Statistics

    • Total Topics
      121.5k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Upcoming Events

  • Posts

    • trents
      Let me hasten to add that if you will be undergoing an endoscopy/biopsy, it is critical that you do not begin efforts to reduce gluten beforehand. Doing so will render the results invalid as it will allow the small bowel lining to heal and, therefore, obscure the damage done by celiac disease which is what the biopsy is looking for.
    • Scott Adams
      This article, and the comments below it, may be helpful:    
    • Scott Adams
      That’s a really tough situation. A few key points: as mentioned, a gluten challenge does require daily gluten for several weeks to make blood tests meaningful, but negative tests after limited exposure aren’t reliable. Dermatitis herpetiformis can also be tricky to diagnose unless the biopsy is taken from normal-looking skin next to a lesion. Some people with celiac or DH don’t react every time they’re exposed, so lack of symptoms doesn’t rule it out. Given your history and family cancer risk, this is something I’d strongly discuss with a celiac-experienced gastroenterologist or dermatologist before attempting a challenge on your own, so risks and benefits are clearly weighed.
    • Greymo
      https://celiac.org/glutenexposuremarkers/    yes, two hours after accidents ingesting gluten I am vomiting and then diarrhea- then exhaustion and a headache. see the article above- There is research that shows our reactions.
    • trents
      Concerning the EMA positive result, the EMA was the original blood test developed to detect celiac disease and has largely been replaced by the tTG-IGA which has a similar reliability confidence but is much less expensive to run. Yes, a positive EMA is very strong evidence of celiac disease but not foolproof. In the UK, a tTG-IGA score that is 10x normal or greater will often result in foregoing the endoscopy/biopsy. Weaker positives on the tTG-IGA still trigger the endoscopy/biopsy. That protocol is being considered in the US but is not yet in place.
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.