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Date: | Wed, 17 Apr 2002 18:42:15 -0400 |
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<<Disclaimer: Verify this information before applying it to your situation.>>
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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