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Ige Positive...where To Go From Here?


Metoo

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Metoo Enthusiast

I am slightly confused. But I have a call into my family doctor to redo testing for gluten allergy possibly celiac.

I tested positive for IgE, they wanted a 0.04 level, and mine was 0.08, but listed me as Class 0, which Class 0 and 0.08 according to most RAST listings online are both negative, but the paperwork I got clearly listed me as being abnormally high and having a gluten allergy.

So my question is...if you have an IgE could you also possibly have celiac, beyond just an allergy?

My aunt and several cousins can no longer have gluten, though I do not know if they have tested positive for celiac.

I am uninterested in undergoing a biopsy to see (I have a clotting disorder), and I am hoping I can just figure this all out through blood work.


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domesticactivist Collaborator

Did your doctor run a celiac panel (single blood draw) as well? The tests run would be:

tTG IgA

EMA IgA

AGA IgA

AGA IgG

total IgA

DGP (this one is now replacing AGA, it is more specific)

Here is my current understanding:

An IgE reaction is your immune reaction to gluten, where the body attacks the gluten itself. This is a histamine type reaction. Usually IgE reactions give symptoms like runny nose, hives, sinus pressure, swollen tongue, or anaphylaxis. Did they test for gluten or wheat in general? A person can be allergic to wheat but not to gluten, but if you are allergic to gluten you also would react to all other gluten containing grains.

Independent of that is a potential celiac issue. Celiac is a form of gluten intolerance which triggers an autoimmune reaction to gluten, where your body attacks the villi in your small intestine as a result to exposure to gluten. Another manifestation of celiac is Dermatitis Herpitiformus, which is a rash. The diagnostic tool for the rash is to test the clear skin next to the rash itself for the antibodies.

You can have an allergy, celiac, or another form of intolerance. You could also have them all.

In order to test for celiac you must be eating gluten, in consistent and large amounts. Since you have an allergy, you want to be avoiding gluten, however! So, if you have been eating gluten up until now you'll want to get in for your celiac panel ASAP!!! Otherwise you could get a false negative.

However, since the full treatment for celiac is strict avoidance of gluten, and the treatment for an allergy is also strict avoidance, you might be best off just avoiding gluten.

Good luck with your testing!

  • 4 years later...
Wendyb123 Newbie

I know this is an old post but hoping for some feedback. Every time i eat wheat, I get a horrible itchy rash.  Face mostly but hands and neck too.  Ige showed abnormal to wheat however, in low range 

celiac panels were negative. Also tested positive for severe nickel allergy. With nickel allergy, I should be able to eat white bread but when I ate pizza the other night... My

rash was horrible.  

thoughts? 

 

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    • 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.
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