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Subject:
From:
Charlotte Ward-Perkins <[log in to unmask]>
Reply To:
Charlotte Ward-Perkins <[log in to unmask]>
Date:
Fri, 6 Jun 2003 18:18:43 +0100
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<<Disclaimer: Verify this information before applying it to your situation.>>

I would be grateful to learn if anyone has any information on, atypical cases of celiac disease involving "normal" mucosa on biopsy but positive EMAs and multiple autoimmune disorders.
My 85 year mother was clinically diagnosed (after I and my son were diagnosed) in Ireland 4 years ago by positive EMA and borderline biopsy (marginally increased villous intraepithelial lymphocytes).
She has no obvious gastrointestinal symptoms but multiple auto-immune disorders: Hashimoto's hypothyroidism, hyperparathyroidism, mixed connective tissue disease, scleroderma, sjogren's, angular chelitis, severe anemia, mouth ulcers, periferal neuropathy and weighs under 83lbs.  Her health and weight improved only slightly on the diet but she became less irritable.  She is tired and irritable all the time.
On the advice of a doctor she stopped the diet 18 months ago. She was still EMA positive.  She was recently re-biopsied by a non-specialist gastroenterologist who has ruled out coeliac disease on the basis of an "unequivocally normal biopsy, notwithstanding previous minimal changes and positive endomysial antibody test" as her symptoms were "not consistent with coeliac disease". I do not want to become embroiled in arguments with her doctors as she does not wish to go back on the diet but I need to know for my own family's sake what the medical evidence is for still suspecting CD as an underlying disorder.  There is a history of unusual autoimmune diseases in the family.
Charlotte Ward-Perkins
Oxford, UK

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