<<Disclaimer: Verify this information before applying it to your situation.>>
In <[log in to unmask]>, on 01/23/97
at 10:33 PM, Jim Lyles <[log in to unmask]> said:
>>Elizabeth Bartilson <[log in to unmask]> wrote:
>>E> I understand that many celiacs are also sensitive or intolerant of E>
>>other foods like corn, soy, dairy, etc. My question is whether this E>
>>means that the villi are damaged by these substances,...
>>G> Allergies, Intolerances, and CD are all different, Cleo Anderson G>
>>explains. Allergies affect 7% of children and 2% of adults, and G>
...>>G> Allergy reactions include asthma, arthritis, G>
>>runny nose, itching, and rashes; and sometimes persistent diarrhea... G>
...>>G> Allergies involve IgE antibodies, which are different >>from the
antibodies involved in CD--jml]
Well, according to page 155 in Michael Marsh's book "Coeliac Disease",
villi damage and crypt deepening can be produced by protein allergies
such as to milk, egg, soy, chicken or fish. The "flat destructive" (Type 3
on a scale from Type 0 to Type 4), in particular, is listed as a feature
of all of these. (A milk (protein) allergy is different from a
(carbohydrate) lactose intolerance.)
Would a professional please comment on this?
There's a table on this page labelled "patterns of mucosal
immunopathology". (This describes only one kind of information obtained
from a biopsy and already shows that there's more to celiac damage than
just loss of villi.) 5 columns, one for each of Marsh's stages of
"lesion".
Only coeliac shows the Type 4, "irreversible hypoplastic/atrophic".
Three gluten sensitive rows: "gluten sensitivity" (likely the IgE
allergy), coeliac, and gluten challenge. 9 other conditions listed, each
in their own row: tropical sprue, tropical enteropathy, those allergies
mentioned above, graft-versus-host and "chronic diarrhea/marasmus".
"Gluten sensitivity" exhibits Types 0-3, but not the ominously sounding
Type 4, "irreversible, hypoplastic/atrophic".
Kemp Randolph
Long Island
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