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My 13 year old daughter had an endoscopy for reflux.  Biopsy returned
"mild focal active duodenitis with mild surface intraepithelial
lymphocytosis. Celiac disease cannot be completely excluded.  Followed
with blood work - Immunoglobulin A(IgA) Serum  45 (low)
Tissue Transglutaminase IgA Ab tTG IgA Ab   85 (high)
Was told bloodwork was positive for celiac.

She is scheduled for another biopsy next week; however, she has been
having joint pain, fevers, mouth ulcers, among other things.  Her recent
blood work is:

Endomysial IGA AB (TTG) - 3.42 which is now NEGATIVE 4 months later!

Do I assume she does NOT have celiac?  Do I still make her go through
another endoscopy?

Other problems in her bloodwork:
ANA strongly positive 1:1280
other lupus & auto immunte tests negative (antiDNA, etc)
C Reactive Protein positive  1.7
Sed Rate normal
Liver Enzymes elevated
AST 65
ALT 99
Lympocytes high 65

She is seeing a pediatric gastroenterologist and a pediatric
rheumatologist who are both stumped.  I am in desperate need of advice
and direction.

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