celiac disease study

Study Explores Potential Celiac Disease in Adults

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This study supports what we at the IBS Treatment Center have been saying for years, and even published in Dr. Stephen Wangen’s book “Healthier Without Wheat.” Once you’ve have positive blood testing for celiac disease, the biopsy is superfluous. But not for the doctor, because that is how they make their living.

Patients with positive blood tests for celiac may not be “confirmed” by positive biopsy because the mucosal damage has not yet occurred. But the symptoms may still be present and may come and go despite remaining on a gluten containing diet.  For these patients the best way to maintain and improve health is to cut out gluten (though that is not reported in this paper).

From National Institutes of Health:

Prevalence and natural history of potential celiac disease in adult patients.

OBJECTIVE:
Potential celiac disease (PCD) is a form of CD characterized by positive endomysial/tissue transglutaminase antibodies and a preserved duodenal mucosa despite a gluten-containing diet (GCD); it can evolve into flat, active CD. This evolution is, however, not certain. Our aim was to retrospectively study the prevalence and the natural history of adult patients with PCD.

METHODS:
The clinical notes of all 47 patients with PCD attending our clinic between September 1999 and October 2011 were retrospectively reevaluated. To study their clinical features, patients with active CD, randomly selected and matched for sex and date of birth, served as controls. Symptoms, associated diseases, familiarity, and laboratory data at diagnosis were compared.

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