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Will Autoimmune Drugs Interfere With Celiac Testing


columbakss

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columbakss Newbie

I have celiac disease and have since I was a baby, but was recently re diagnosed with it....long story. I know it tends to run in families so my mom was tested. Starting with a severe car crash about 15 yrs ago she started to develop extreme fatigue and depression, though she was not critically injured in the crash. During this time she was under extreme stress and had a few knee surgeries from a life long of running. She was eventually diagnosed with Fibromyalgia, then about 5 yrs later RA and IBS. For the past 2 yrs she has been out of control with her diseases, and due to some nerve pain or numbness thery are watching for MS. So anyway after I was rediagnosed 6 months ago, she was tested for Celiac and came back with normal ranges, but could that have been caused by the gammet of immuno suppressing drugs she takes on a daily basis?


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Jestgar Rising Star

It seems that it might, although I don't have any research to show you. The response to gluten in an immune response so if your immune cells were suppressed I would think that you could get a negative response.

ravenwoodglass Mentor

There can be a number of reasons why we would show a false negative. I would encourage her to give the diet a good strict try after the testing is complete. It sounds like she could identify with my sig. :( If I had to wait for positive blood work I would be dead. It took a very long time for me to get diagnosed and interestingly my gene is one that is considered a gene for RA in the US although it is recognized as a celiac gene in other countries. I think she will get a great deal of relief with the diet. With you being diagnosed she really needs to try the diet. In my family both my children did show positive on blood testing even though I don't. Don't know why but it sounds like you guys are facing the same situation.

nora-n Rookie

For example steroids are known to make the villi look normal despite of celiac.

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    • trents
      Yes, it does. And joint pain is another celiac symptom that is now well-recognized. 
    • ThomasA55
      Does my iron loss sound like celiac to you?
    • trents
      Being as how you are largely asymptomatic, I would certainly advise undertaking a gluten challenge in order to get formal testing for celiac disease. We have many forum participants who become violently ill when they undertake a gluten challenge and they therefore can't carry through with it. That doesn't seem to be the case with you. The reason I think it is important for you to get tested is that many or most people who don't have a formal diagnosis find it difficult to be consistent with the gluten-free diet. They find ways to rationalize that their symptoms are due to something other than celiac disease . . . especially when it becomes socially limiting.  The other factor here is by being inconsistent with the gluten free diet, assuming you do have celiac disease, you are likely causing slow, incremental damage to your gut, even though you are largely asymptomatic. It can take years for that damage to get to the point where it results in spinoff health problems. Concerning genetic testing, it can't be used for diagnosis, at least not definitively. Somewhere between 30 and 40% of the general population will have one or both of the two genes known to be associated with the development of active celiac disease. Yet, only about 1% of the general population will develop active celiac disease. But the genetic testing can be used as a rule out for celiac disease if you don't have either gene. But even so, that doesn't eliminate the possibility of having NCGS (Non Celiac Gluten Sensitivity).
    • ThomasA55
    • trents
      Welcome to the celiac.com community, @ThomasA55! Before I give my opinion on your question about whether or not you should undergo a gluten challenge, I would like to know how you react when you get a good dose of gluten? Are you largely asymptomatic or do you experience significant illness such as nausea and diarrhea? You mentioned intermittent joint pain before you began experimenting with a low gluten diet. Anything else?
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