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What Does This Mean?

roxieb73

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roxieb73 Contributor
roxieb73
Posted

ENDOMYSIAL ANTIBODY SCR (IGA) W/REFL TO TITER

Does it mean they found the antibody even if the test is negative? If so how can a test be negative if the antibody is present? I was under the impression the only place you see this is with Celiac. Ughhh

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mushroom Proficient
mushroom
Posted

What else was on the result sheet besides what you posted? Either before or after? They did not give any result.

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roxieb73 Contributor
roxieb73
  • Author
Posted

What else was on the result sheet besides what you posted? Either before or after? They did not give any result.

It just said negative

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MitziG Enthusiast
MitziG
Posted

Well you didn't get a full celiac panel if they only checked endomysial antibodies. They should also do ttg IGA,, ttg IGG, total IGA and Deamidated Gluten Peptides. I would go back to the doctor and insist on the full panel- one test, albeit a specific one, is not enough to rule out Celiac.

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roxieb73 Contributor
roxieb73
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Posted

Well you didn't get a full celiac panel if they only checked endomysial antibodies. They should also do ttg IGA,, ttg IGG, total IGA and Deamidated Gluten Peptides. I would go back to the doctor and insist on the full panel- one test, albeit a specific one, is not enough to rule out Celiac.

I will do it than k you Mitzi! I won't have to argue with him. He already thinks we got a false negative. My doctor is pretty convinced Celiac is what my problem is.

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Sieben Rookie
Sieben
Posted

Are false negatives that common on the endomysial IGA test?

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beachbirdie Contributor
beachbirdie
Posted

ENDOMYSIAL ANTIBODY SCR (IGA) W/REFL TO TITER

Does it mean they found the antibody even if the test is negative? If so how can a test be negative if the antibody is present? I was under the impression the only place you see this is with Celiac. Ughhh

The test is negative. When it says "reflex to titer" it means they will perform dilutions to find out how strongly positive it is, if they find antibodies. If it is negative (they don't find antibodies), they will not perform the dilutions.

They did not do complete testing. You should have the complete panel mentioned by others. Many people with celiac, those who are not sero-negative, will only test positive on one of the tests. Though anti-EMA is supposed to be one of the best indicators of tissue damage, that can be negative in people with celiac. Hope that makes sense!

The negative EMA test doesn't rule out celiac. Thankfully your doc is on board and will test further.

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roxieb73 Contributor
roxieb73
  • Author
Posted

The test is negative. When it says "reflex to titer" it means they will perform dilutions to find out how strongly positive it is, if they find antibodies. If it is negative (they don't find antibodies), they will not perform the dilutions.

They did not do complete testing. You should have the complete panel mentioned by others. Many people with celiac, those who are not sero-negative, will only test positive on one of the tests. Though anti-EMA is supposed to be one of the best indicators of tissue damage, that can be negative in people with celiac. Hope that makes sense!

The negative EMA test doesn't rule out celiac. Thankfully your doc is on board and will test further.

Now it makes sense thank you! I have already had blood drawn for HLA typing and if they come back positive then will have a biposy and repeat antibody tests. I am currently eating gluten in preparation for that. If it is negative then all this testing will come to an end.

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ravenwoodglass Mentor
ravenwoodglass
Posted

Now it makes sense thank you! I have already had blood drawn for HLA typing and if they come back positive then will have a biposy and repeat antibody tests. I am currently eating gluten in preparation for that. If it is negative then all this testing will come to an end.

Once all your testing is done do try the diet no matter what the gene and other tests show. Gene tests are only a small part of the picture as folks can have the associated genes and not have celiac and people can have celiac and not have one of the two most commonly associated genes.

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