Celiac Disease and IgA Deficiency: Complications of Serological Testing Approaches Encountered in the Clinic

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Celiac disease and IgA deficiency: complications of serological testing approaches encountered in the clinic.

BACKGROUND IgA deficiency causes false-negative IgA-based celiac serology results in patients with celiac disease. Using a case-finding strategy, we examined the prevalence of IgA deficiency, physician evaluation, and management of IgA deficiency during serological testing for celiac disease. METHODS We reviewed consecutive IgA-endomysial antibody (EMA) and serum IgA results from the laborato...

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Serological assessment for celiac disease in IgA

Purpose: Selective immunoglobulin A deficiency is the most common primary immunodeficiency disorder that is strongly overrepresented among patients with celiac disease (CD). IgG antibodies against tissue transglutaminase (tTG) and deamidated gliadin peptides (DGP) serve as serological markers for CD in IgA deficient individuals, although the diagnostic value remains uncertain. The aim of this s...

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Type 1 Diabetes Mellitus, Celiac Disease, and Selective IgA Deficiency: a Case Report

Patients with Type 1 diabetes mellitus have a high prevalence of coeliac disease, symptoms of which are often mild, atypical, or absent. Untreated coeliac disease is associated with an increased risk of malignancy, particularly of lymphoma. Therefore, we report a 9-year-old girl with Coeliac disease, diabetes type 1 and Selective IgA deficiency. A 9-year-old female patient presented in august 2...

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Serological Assessment for Celiac Disease in IgA Deficient Adults

PURPOSE Selective immunoglobulin A deficiency is the most common primary immunodeficiency disorder that is strongly overrepresented among patients with celiac disease (CD). IgG antibodies against tissue transglutaminase (tTG) and deamidated gliadin peptides (DGP) serve as serological markers for CD in IgA deficient individuals, although the diagnostic value remains uncertain. The aim of this st...

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Antitissue Transglutaminase IgA for Celiac Disease Testing.

A 23-year-old woman presented for assessment of positive celiac disease serologic testing. The testingwasperformedat thepatient’s requestbecauseher 15-year-oldbrotherwas diagnosed with celiac disease. Based on her test results, the patient was advised to commenceagluten-freediet.However, shebelieved that a small intestinal biopsywouldbeappropriate to confirm her diagnosis and sought another opi...

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ژورنال

عنوان ژورنال: Clinical Chemistry

سال: 2008

ISSN: 0009-9147,1530-8561

DOI: 10.1373/clinchem.2008.103606