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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 Free recipes: Gluten-Free Recipes Where can I buy gluten-free stuff? Support this site by shopping at The Celiac.com Store.

Who Examins Biopsy Slides?
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2 posts in this topic

So at the end of November I finally get to take my 4yo down to UCSD to see a pediatric celiac specialist. His local GI doesn't really get the disease and I had her do an endoscopy and biopsies reluctantly because I knew she was convinced he had no celiac. But I would have had to keep my son on gluten, having constant diarrhea, exhausted for three months to just see the celiac specialist, much less get in for the endo, so I decided to have local GI do it and to have someone else review the slides. I wasn't terribly surprised to have her tell me the biopsy showed no signs of celiac, except a "few scattered intraepithelial T-lymphocytes".

The hospital called that I can pick the slides up. Do you think the doctor will review them at the appointment or does another pathologist at her hospital do it? If so, should I bring them down the week before? Just want the doctor to have the most information possible to address my son's needs. Basically, he has classic celiac symptoms (diarrhea, short stature, low appetite, fatigue, motor problems, anemia, weakened and stained teeth) and I have celiac and he had a strong positive DGP IGA test, same gene as I have. I think he has it and he's gluten free but I also want his doctor to have the most information possible.

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The slides should be reviewed by the hospital pathologist who is used to interpreting these things. The doctor will probably be interested in them but you need a specialist interpretation. Your GI was reading from the pathology report when she started talking about "scattered intraepithelial T-lymphocytes" I would call the San Diego doctor you are going to see and ask for her recommendation on how to handle the slides. Perhaps the one hospital can forward to the other and you needn't get involved.

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