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I received my 11 year old daughter's test results if anyone can explain for me I appreciate any help I can get...her Dr. told me that she was positive with a blood test, did the biopsy and since that is "negative" they are saying she is not Celiac

As it is written on here:

IgA Total is 162 mg/dL

tTG Ab, IgA shows *H 35.3 unit/m

can anyone tell me what those mean, and what the numbers should be for someone who is "normal"?

As far as the biopsy report goes it says the following:

1. Small bowel boipsy for disacchiaridases sent to The Medical College of Wisconsin

- consisted of two tan pink to red tissue fragments .2 and .3 cm

SMALL BOWEL BIOPSY SPECIMEN SENT TO MEDICAL COLLEGE OF WISCONSIN FOR DISACCHARIDASES DETERMINATION. SEPARATE REPORT WILL FOLLOW.

2. Biopsy second portion of duodendum.

- consists of four pink-tan tissue fragments .2 - .3 cm

SECOND PORTION OF DUODENUM BIOPSY: FRAGMENTS OF SMALL INTESTINAL MUCOSA WITH NO SIGNIFICANT HISTOLOGIC ABNORMALITY

3. Biopsy duodenal bulb.

- consists three pink-tan tissue fragments .2, .3 cm

FRAGMENTS OF SMALL INTESTINAL MUCOSA WITH NO SIGNIFICANT HISTOLOGIC ABNORMALITY

4. Biopsy antrum of stomach.

- consists of two pale pink tissue fragments .2 and .5cm

FRAGMENTS OF GASTRIC MUCOSA WITH NO SIGNIFICANT HISTOLOGIC ABNORMALITY

GIEMSA STAIN FOR HELICOBACTER PYLORI-LIKE ORGANISMS IS NEGATIVE

5. Biopsy distal esophagus.

- consists of two white tissue fragments .3 and .4 cm

FRAGMENTS OF SQUAMOUS MUCOSA WITH NO SIGNIFICANT HISTOLOGIC ABNORMALITY.

Thanks again, if I should be including anything else, please let me know and I can look for it on these papers.

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I received my 11 year old daughter's test results if anyone can explain for me I appreciate any help I can get...her Dr. told me that she was positive with a blood test, did the biopsy and since that is "negative" they are saying she is not Celiac

As it is written on here:

IgA Total is 162 mg/dL

tTG Ab, IgA shows *H 35.3 unit/m

can anyone tell me what those mean, and what the numbers should be for someone who is "normal"?

As far as the biopsy report goes it says the following:

1. Small bowel boipsy for disacchiaridases sent to The Medical College of Wisconsin

- consisted of two tan pink to red tissue fragments .2 and .3 cm

SMALL BOWEL BIOPSY SPECIMEN SENT TO MEDICAL COLLEGE OF WISCONSIN FOR DISACCHARIDASES DETERMINATION. SEPARATE REPORT WILL FOLLOW.

2. Biopsy second portion of duodendum.

- consists of four pink-tan tissue fragments .2 - .3 cm

SECOND PORTION OF DUODENUM BIOPSY: FRAGMENTS OF SMALL INTESTINAL MUCOSA WITH NO SIGNIFICANT HISTOLOGIC ABNORMALITY

3. Biopsy duodenal bulb.

- consists three pink-tan tissue fragments .2, .3 cm

FRAGMENTS OF SMALL INTESTINAL MUCOSA WITH NO SIGNIFICANT HISTOLOGIC ABNORMALITY

4. Biopsy antrum of stomach.

- consists of two pale pink tissue fragments .2 and .5cm

FRAGMENTS OF GASTRIC MUCOSA WITH NO SIGNIFICANT HISTOLOGIC ABNORMALITY

GIEMSA STAIN FOR HELICOBACTER PYLORI-LIKE ORGANISMS IS NEGATIVE

5. Biopsy distal esophagus.

- consists of two white tissue fragments .3 and .4 cm

FRAGMENTS OF SQUAMOUS MUCOSA WITH NO SIGNIFICANT HISTOLOGIC ABNORMALITY.

Thanks again, if I should be including anything else, please let me know and I can look for it on these papers.

From my understanding, the IGA Total is just to determine if you are IGA deficient or not so that they can test for other tests. Does it have a range for the TTG IGA tests?

The mayo clinic is an excellent resource on Celiac testing. Here is a link with algorithms for different testing scenerios:

http://www.mayomedicallaboratories.com/articles/features/celiac/resources.html

I'm not in the medical field but have done a lot of research. You may want to see about getting her tested again with a different test (DGP IGA) and/or see if a different pathologist can review the pathology. One of the things that I've learned and didn't know is that biopsy reading is not black and white.

Good luck and let us know how it goes.

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