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      Frequently Asked Questions About Celiac Disease   09/30/2015

      This Celiac.com FAQ on celiac disease will guide you to all of the basic information you will need to know about the disease, its diagnosis, testing methods, a gluten-free diet, etc.   Subscribe to FREE Celiac.com email alerts   What are the major symptoms of celiac disease? Celiac Disease Symptoms What testing is available for celiac disease? - list blood tests, endo with biopsy, genetic test and enterolab (not diagnostic) Celiac Disease Screening Interpretation of Celiac Disease Blood Test Results Can I be tested even though I am eating gluten free? How long must gluten be taken for the serological tests to be meaningful? The Gluten-Free Diet 101 - A Beginner's Guide to Going Gluten-Free Is celiac inherited? Should my children be tested? Ten Facts About Celiac Disease Genetic Testing Is there a link between celiac and other autoimmune diseases? Celiac Disease Research: Associated Diseases and Disorders Is there a list of gluten foods to avoid? Unsafe Gluten-Free Food List (Unsafe Ingredients) Is there a list of gluten free foods? Safe Gluten-Free Food List (Safe Ingredients) Gluten-Free Alcoholic Beverages Distilled Spirits (Grain Alcohols) and Vinegar: Are they Gluten-Free? Where does gluten hide? Additional Things to Beware of to Maintain a 100% Gluten-Free Diet What if my doctor won't listen to me? An Open Letter to Skeptical Health Care Practitioners Gluten-Free recipes: Gluten-Free Recipes Where can I buy gluten-free stuff? Support this site by shopping at The Celiac.com Store.

Do You Have To Have "specific" Celiac Genes?
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freeme808    2

I received my enterolab results, and low and behold I am gluten intolerant. I also have two genes, but it said it is not specific to Celiac. I have a horrible rash(everything leads to DH), and I have some kind of inflammation/infection in my intestines-when you feel them they are very hard(I am working with my holistic doctor). Here are my results:

 

Gluten Sensitivity Stool Panel
Fecal Anti-gliadin IgA      53 Units   (Normal Range is less than 10 Units)

Fecal Anti-tissue Transglutaminase IgA      11 Units   (Normal Range is less than 10 Units)

Quantitative Microscopic Fecal Fat Score      285 Units   (Normal Range is less than 300 Units)

Gluten Sensitivity Gene Test
HLA-DQB1 Molecular analysis, Allele 1      0502   

HLA-DQB1 Molecular analysis, Allele 2      0602   

Serologic equivalent: HLA-DQ   1,1  (Subtype 5,6)

 

Although you do not possess the main HLA-DQB1 genes predisposing to celiac sprue (HLA-DQB1*0201 or HLA-DQB1*0302), HLA gene analysis reveals that you have two copies of a gene that predisposes to gluten sensitivity (any DQ1, DQ2 not by HLA-DQB1*0201, or DQ3 not by HLA-DQB1*0302). Having two copies of a gluten sensitive gene means that each of your parents and all of your children (if you have them) will possess at least one copy of the gene. Two copies also means there is an even stronger predisposition to gluten sensitivity than having one gene and the resultant immunologic gluten sensitivity may be more severe.

 

Im confused because of my rash and intestinal problems. Everything I read says if you have gluten sensitivity and not celiac, you usually don't have these two problems and if you do- it's celiac. But I don't have the "specific" gene.

 

I am also very happy to report after so much suffering that I am gluten, dairy, and sugar free. :) However, my rash has flared up...I figured it would get worse before it gets better. And as I mentioned earlier, I'm still figuring out what's going on in my intestines. Thank you for your help!

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ravenwoodglass    1,221

I have had DH since childhood and although it was a long road was finally firmly diagnosed celiac about 10 years ago. I don't have either of the two most commonly associated 'celiac' genes either. Gene testing is IMHO interesting and can be helpful but is not the be all and end all of celiac diagnosis. Whether you are labeled celiac or gluten intolerant the script is the same. Lifelong adherence to the gluten free diet. Glad to hear you are feeling better and I hope you continue to improve.

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freeme808    2

Thank you so much. :)

I should of searched the forums first before posting. I did find this, which I found very interesting:

"When the GI Dr.'s are running their tests....they are looking for Celiac Disease specifically. A person can have leaky gut and as a result the immune system is producing antibodies (since gluten would be recognized as "foreign" in the bloodstream) but this is a completely different situation then Celiac Disease.


In my opinion those with DQ1 may be more susceptible to leaky gut (for whatever reason) and the gluten intolerance is a consequence of that. Since the condition is not the same as Celiac the immune response is not ocurring in the gut (as it does with Celiac).....instead the immune system is responding to undigested gluten which has left the gut and entered the bloodstream. Its the same scenario with other other food proteins such as dairy, soy, eggs, etc....leaky gut allows those foods to leave the gut and enter the bloodstream undigested.

Under normal circumstances gluten, other foods, toxins, bacteria, parasites, etc. would not pass through the gut wall...they would not have access to other areas of the body. Its only when the gut is leaky that this becomes a problem which ultimately can lead to autoimmunity.

Possibly every person that I've come across with DQ1 and gluten intolerance.....also has other food intolerances (usually lots of them) which is more indicative of leaky gut. The symptoms are more neurological (although there may also be some GI symptoms) and they generally do not solve their health issues by eliminating gluten alone. The DQ1 symptoms are described as being more "severe" in some ways worse than those with DQ2 or DQ8....but really in my opinion its comparing apples and oranges. We're comparing two different conditions....which is why its rare for a person with DQ1 to be diagnosed with Celiac."

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IrishHeart    1,634

The Enterolab fecal fat and stool tests are not considered valid tests for celiac. I have not seen anyone (including people in my family and circle of friends) who have not received a  similar report like the one you have posted. Word for word. Makes me skeptical. IMO.

 

The Univ. of Chicago Celiac Center has this posted on their website: 

 

 

Why don’t you recognize tests (stool tests or otherwise) for
non-celiac gluten sensitivity that are currently available through
companies like Enterolab or Cyrex?

    
                    

"We only embrace tests that have endured rigorous
scientific evaluations. So far, these tests have received no
evidence-based support.


Enterolab has never successfully published anything on the accuracy
of stool tests (nor have any other stool test manufacturers, to our
knowledge) making it difficult to confirm the research results. Because
of this, we must make our decisions based on what has been
published; Harvard, UCSD, and the American College of Gastroenterology
all agree that stool tests are simply not sensitive or specific enough
methods in screening for celiac disease.


We can say therefore with confidence that the test currently being
used by these labs is not good enough. In fact, while it is true that
about 40% of people with proven gluten sensitivity have elevated
AGA-IgG, it is also true that about 15-25% of the healthy individuals
who have absolutely nothing wrong also have elevated AGA-IgG. Hence,
about 60% of gluten sensitive people do not have elevated AGA-IgG
(making the test not sensitive enough); and about 20% of normal,
non-gluten sensitive people have elevated AGA-IgG for no apparent reason
(making the test not specific enough)."


Further reading: “Detection
of secretory IgA antibodies against gliadin and human tissue
transglutaminase in stool to screen for coeliac disease in children:
validation study”
at BMJ.com

 

 

 

Why not have celiac panels run or a biopsy of the area around those lesions to rule out DH?

Just a suggestion, but in either case, yes the gluten free diet is still the recommended treatment, celiac or gluten intolerant.

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freeme808    2

Thanks for responding.

The doctors in my area(my insurance) are not educated enough about celiac to do the right tests-some weren't in the system, and every derm I've ever been to in the pass just doesn't listen- so, I didn't want to waste anymore time. It's just too depressing. Then I ordered enterolab, hoping it would shed a little light. I am however seeing an holistic/MD now who is helping me with my conditions. After reading a lot today about gene and stool testing and everything in between...lol, very exhausting, I'm kind of over all the facts now.

I know my body and it's reactions, the problems I've had since I was a child....lol. Why couldn't I have this mindset a month ago!? I'm sticking to my clean diet...I feel so much better.  :wub:

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Lisa    457

 I'm sticking to my clean diet...I feel so much better.  :wub:

 

I, too, am not a fan of Enterolabs, for many of the reasons Irish quoted. Do you have a family history of digestive issues or other autoimmune disorders?

 

I think you are wise.  Your pursuit of  good health, will find your conclusions.  Welcome!

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IrishHeart    1,634

FreeMe, if you feel better off gluten, then do what you think is best. I just wanted to make you aware of the testing procedures, if you had not

considered all of them yet. You know what's best..

 

Best wishes to you!

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Lisa    457

I do trust Enterolab's gene test, however... it's done by the Red Cross, and not in question as far as I know.

<grimace> No, don't think so.  Enterolab is a  "for profit" lab = The End.

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gatita    32

They are indeed for profit.

 

However: "For the purpose of gene testing, our gene testing partner, The American Red Cross,...." Etc. They do farm out the gene testing to the Red Cross.

 

Anyway, I didn't mean to veer off topic.... :)

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freeme808    2

Thank you everyone. Sorry I didn't mean to start a debate. I do feel that the results have shed some more light on my condition. I only had two tests done via blood(the rest weren't in the system)..and although it was elevated, as far as "there" standard range goes they said I was negative. But I believed otherwise. My new doctor also said, if you were negative...it would be 0. The stool test has shown my raised antibodies...just like my skin does everyday(slowly getting better). I am also very anemic, and deficient and also have something going on in my intestines. However, there is a bright light at the end of the tunnel for me. ;)

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