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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.

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Hello,

I recently had a scope to determine reasons for weight loss, fatigue, bloating, and dry itchy skin and psorasis. I obtained the lab results today but am unable to meet with the doctor until after the holidays. Could someone please help me interpret the results.

Biopsises of duodenum

-marked increase in intraepithelial lymphocytes

Comment: Sections from duodenum show marked increase in intraephithelial lymphocytes and expansion of lamina propria by mononuclear inflammatory infiltrate. Focal minimal activity and crypt abscess is also noted. Villous blunting is noted in well oriented duodenal villi. Clinical and serological correclation is recommeded to rule out Celia disease. H. pylor micro-organisms are nto identifed on routine stains in sections examined.

Biposies of gastric antrum:

-gastric antrum and body type mucosa with mild chronic gastritis

-negative for intestinal metaplasia, dysplasis or malignancy

-negative for H. pylori micro-organisms on routine and special stains

I also have vitilogo. It was my understanding that biopsy would be the determining factor for a diagnosis of Celiac, so am confused about the recommendation for bloodwork.

Thanks in advance.

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Hello,

I recently had a scope to determine reasons for weight loss, fatigue, bloating, and dry itchy skin and psorasis. I obtained the lab results today but am unable to meet with the doctor until after the holidays. Could someone please help me interpret the results.

Biopsises of duodenum

-marked increase in intraepithelial lymphocytes

Comment: Sections from duodenum show marked increase in intraephithelial lymphocytes and expansion of lamina propria by mononuclear inflammatory infiltrate. Focal minimal activity and crypt abscess is also noted. Villous blunting is noted in well oriented duodenal villi. Clinical and serological correclation is recommeded to rule out Celia disease. H. pylor micro-organisms are nto identifed on routine stains in sections examined.

Biposies of gastric antrum:

-gastric antrum and body type mucosa with mild chronic gastritis

-negative for intestinal metaplasia, dysplasis or malignancy

-negative for H. pylori micro-organisms on routine and special stains

I also have vitilogo. It was my understanding that biopsy would be the determining factor for a diagnosis of Celiac, so am confused about the recommendation for bloodwork.

Thanks in advance.

Yes, the biopsy has always been considered the 'gold standard' of celiac diagnosis, but it sounds like you are in the early stages and the pathologist who read your slides was not totally convinced. Everything I have bolded is indicative of celiac disease. He is suggesting that your doctor run the celiac blood panel for confirmation of celiac.

For now, you can enjoy the holiday food as much as you can because these might be your last glutenous holidays :D

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Yes, the biopsy has always been considered the 'gold standard' of celiac diagnosis, but it sounds like you are in the early stages and the pathologist who read your slides was not totally convinced. Everything I have bolded is indicative of celiac disease. He is suggesting that your doctor run the celiac blood panel for confirmation of celiac.

For now, you can enjoy the holiday food as much as you can because these might be your last glutenous holidays :D

Thank you very much for your response.

My doctor has been trying to find the source of the fatigue, weight loss, etc (along with a B12 deficiency and anemia), so while I am not thrilled about the possible celiac diagnosis, I understand that there are far worse alternatives. Lymphoma has been ruled out after I had a CT scan that was negative after enlarged lymph nodes were detected on MRI.

I will enjoy the festive holiday treats and have the blood tests in the new year!

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Good luck with your blood tests; I hope you get clear results. :)

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Hello again,

Firstly, I would like to thank everyone who has ever written a post on this site. I feel like I have read them all and am astounded by the depth and breadth of knowledge!

I had a follow up visit today with my doctor. Blood test (ttg IgA) results confirm diagnosis of Celiac Disease, following biopsy. Lab result was >80 with <4 being the reference range.

Additional blood tests showed elevated Red Blood cells (17.3 with reference range 11-14.5), elevated ESR (20 with reference range 0-12), Low RBC folate (319 with reference range of >829, and low ferritin (10 with reference range of 11-145).

I currently take B12 shots every three weeks. He has suggested 5 mg of folic acid. He didn't check my iron, so I am going tomorrow to have that blood test performed. Other then the folic acid, is there anything else he should be recommending. He self admitted that he does not know much about Celiac Disease and has referred me to a GI.

I have now been on a gluten free diet for 5 weeks. I am encouraged that I am seeing some small improvements..... less gastrointestinal issues, more restful sleep, gained 4 pounds :)

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Hey learningabouceliac!

Thanks for thinking to post an update. I'm so glad to hear you have a definitive answer, and it sounds like you are on your way to healing!

Cheers!

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