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Some Of The Test Results Are Back.


Roda

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Roda Rising Star

Well, at least for now I feel that I can give the celiac a rest for my oldest ds and we will continue to monitor him. I really think that everything is related to not feeling well with his sesonal allergies and his susceptibility to strep. Here are his results:

Gliadin IgA AB-- 4 unit (19 units or less ...Negative)

Gliadin IgG AB-- 1 unit (19 units or less ...Negative)

Tissue Transglutaminase Ab IgA--4 (values greater than 19 positive)

He has had a total IgA last year and is not deficient. I am still waiting on the reticulin IgA Autoantibodies.


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nora-n Rookie

Yes, but it is known that at least 20% of biopsy proven celiacs have negative tests...

I know af a little girl (from another forum) who only had the endomysium antibody test positive.

How old is your child?

Often tests are unreliable with children under three because they do not make enough antibodies, but that was why the total IgA was done.

nora

Roda Rising Star
Yes, but it is known that at least 20% of biopsy proven celiacs have negative tests...

I know af a little girl (from another forum) who only had the endomysium antibody test positive.

How old is your child?

Often tests are unreliable with children under three because they do not make enough antibodies, but that was why the total IgA was done.

nora

He is just over 8 1/2 years old. He isn't having any symptoms to indicate a biopsy. He did not have the EMA done because the reference lab would not do it unless the tTG was positive. I had another post about that asking the importance of having it too with the other tests, but noone here would reply. So I did the labs where my insurance would pay. I didn't want the out of pocket expense of out of network. It would have been nice to get some other input though. Oh well. I do the best I can. I don't think this is the issue right now. It was easy to think so since I'm diagnosed, but I can't blame everything on celiac. I have had a pretty good instinct with both of my boys thus far that has served me well and I don't think this is it at this time. Thats not to say that I won't be keeping an eye on things.(I had him retested to include all the tests this time) Thanks for the reply.

lizard00 Enthusiast

Out of curiousity, are you having him tested every year?

I had my son tested last year around this time, and everything came back negative. I believe his tTG was 0. I understand how you feel, it would be easy to blame everything on celiac since I have it. I feel like I walk this line that borders awareness and paranoia... it's crazy.

I'll be seeing his pediatrician in about two weeks for my daughter's one month checkup, and I am going to ask him what his opinion is on the frequency of having him tested. Then I might ask my GI when I see him next... ;)

Roda Rising Star
Out of curiousity, are you having him tested every year?

I had my son tested last year around this time, and everything came back negative. I believe his tTG was 0. I understand how you feel, it would be easy to blame everything on celiac since I have it. I feel like I walk this line that borders awareness and paranoia... it's crazy.

I'll be seeing his pediatrician in about two weeks for my daughter's one month checkup, and I am going to ask him what his opinion is on the frequency of having him tested. Then I might ask my GI when I see him next... ;)

I don't know how frequently I should have him screened. We were having some isolated behavior problems and thought that this could be it. He only had a total IgA and tTG last Nov. so I asked his allergist to run all of the tests this time to cover all the bases. His tTG last Nov was 2. I can completly relate to the awareness bordering on paranoia. Not only do I have celiac, but I work in a hospital too and it can be quite bothersome to know things. Sometimes I think ignorance would be bliss. :lol: No not really, if that was the case, I would still probably be undiagnosed. I guess I just want to make sure if he is going to develop something I want to catch it early and not have him suffer. I have a 4 almost 5 year old too who had the same screening last year as my oldest ds. I have not had him retested yet and will probably wait awhile. My oldest ds's seasonal allergies are really bad this year and I really believe this is the problem. We had a two year period when they were really under control and he was feeling well and not sick. I guess the honeymoon is over. We'll get back on track though.

nora-n Rookie

Hi, sorry, we are not all online here every day...

That case with the little girl with only the endomysium test positive, was on another forum (delphi) so you could get more answers with important questions if you post them several places....maybe someone here in the children folder could have related and answered that it is not uncommon to only have one of the tests positive.

Still, about 20% of celiacs have negative blood tests.

There is another place you can use to test for early gluten issues, it is enterolab. They have a very sensitive IgA ttg and antigliadin stool test, that is where the antibodies show up long before the blood. But they pick it up so early that they can only call it gluten sensitivity, not celiac.

In case you wanted to prusue if gluten is an issue with the one with behaviour issues. They also test for antibodies against milk.

The gene tests give some kind of risk assessment.

The conventional celiac tests have a high cutoff, and this is intentional, so that they only pick up kinda severe celiac damage. They try to make them correlate with biopsy results showing severe villous damage.

nora

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    • Samanthaeileen1
      thank you RMJ! That is very helpful advice. Good to know we aren’t crazy if we don’t do the endoscopy. We are going to try the gluten free and see how symptoms and levels improve.    thank you Wheatwacked (love the username lol) that is also reassuring. Thankfully she has an amazing and experienced pediatrician. And yesss I forgot to mention the poop! She has the weirdest poop issues.    How long did it take y'all to start seeing improvement in symptoms? 
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      My son was diagnosed when he was weaned in 1976 after several endoscopies.  Given your two year old's symptoms and your family history and your pediatrition advocating for the dx, I would agree.  Whether an endoscopy is positive or negative is irrelevant.   That may happen even with endoscopy.  Pick your doctors with that in mind. In the end you save the potential trauma of the endoscopy for your baby.   Mine also had really nasty poop.  His doctor started him on Nutramigen Infant because at the time it was the only product that was hypo allergenic and had complete nutrition. The improvement was immediate.
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      So her tissue transglutaminase antibody is almost 4x the upper end of the normal range - likely a real result. The other things you can do besides an endoscopy would be: 1.  Genetic testing.  Unfortunately a large proportion of the population has genes permissive for celiac disease, but only a small proportion of those with the genes have it. With family history it is likely she has the genes. 2.  Try a gluten free diet and see if the symptoms go away AND the antibody levels return to normal. (This is what I would do). Endoscopies aren’t always accurate in patients as young as your daughter. Unfortunately, without an endoscopy, some doctor later in her life may question whether she really has celiac disease or not, and you’ll need to be a fierce mama bear to defend the diagnosis! Be sure you have a good written record of her current pediatrician’s diagnosis. Doing a gluten challenge for an endoscopy later in life could cause a very uncomfortable level of symptoms.   Having yourself, your husband and your son tested would be a great idea.  
    • Samanthaeileen1
      here are the lab ranges.  Normal ranges for tissue transglutaminase are: <15.0 Antibody not detected > or = 15.0 Antibody detected normal for endomysial antibody is < 1.5. So she is barely positive but still positive. 
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