How can someone have celiac disease and show no symptoms???? NO WAY!!!
First published 9-25-09
Here is a direct quote from American Physician Magazine:
"Gluten-sensitive enteropathy commonly manifests as "silent" celiac disease (i.e., minimal or no symptoms). Serologic tests for antibodies against endomysium, transglutaminase, and gliadin identify most patients with the disease.
Serologic (blood) testing should be considered in patients who are at increased genetic risk for gluten-sensitive enteropathy (i.e., family history of celiac disease or personal history of type I diabetes) and in patients who have chronic diarrhea, unexplained anemia, chronic fatigue, or unexplained weight loss."
Why do we care to treat celiac disease without symptoms? Why go on this restrictive diet if we are not sick?
Early diagnosis and management are important to forestall serious consequences of malabsorption, such as osteoporosis and pernicious anemia. (Am Fam Physician 2002;66:2259-66,2269-70. Copyright© 2002 American Academy of Family Physicians.
What does it mean when my biopsy is negative but my blood work is positive?
As best I can tell it's called latent celiac disease. Here are some articles to review.