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Thu, 25 Jun 1998 21:26:19 -0500
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<<Disclaimer: Verify this information before applying it to your situation.>>

Received this post to go along with my other about false positive blood
test results.  I found this response to be informative, enlightening, and
uplifting.   Actually, this is the most logical of all responses and
reinforces the idea that we should listen to our bodies and our physicians.

----------

> I am coming in on the end of this discussion but thought you might be
> interested in the following study published in 1996 Gastroenterology, vol
> 111, p 608-16.  This paper described 10 patients with cliac disease who had
> normal histopathology on biopsy.  Perhaps some cases at least of "false
> positive blood tests with celiac ruled out by biopsy" are actually "celiac
> with false negative biopsy findings".  Remember, functional disturbance
> cannot always be seen by the eye - even when it is using a microscope" but
> the immune system "knows" if gluten is a problem and usually is revealing
> of that fact upon evaluation.
>
> As a physician working in this area, I am seeing a trend, perhaps sometime
> off in the future, when many diagnoses will be made using the blood testing
> followed by a therapeutic trial of a gluten-free diet.  As we learn more
> and us physicians get more experience with this condition, I think this is
> how it will often be done.  There is the beginning of a general trend in
> medicine happening - toward more refined serological testing and away from
> more "crude" invasive (and expensive) procedures (thank goodness).
> Thought you might find this interesting,
> Pat
> Washington state

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