Very interesting article that goes into how people with certain immune deficiencies may go with undiagnosed Celiac because the tests don’t always come out *normal positive* in people with certain problems/immune deficiencies. People with antibody defects or more extensive primary immune deficiencies may not have reliable results on celiac testing.
Since we have so many kids on the SDS list with antibody deficiencies, I thought I would post this! This is from the December-January 2009 I.G. living magazine
http://www.igliving.com/web_files/d-j09_Celiac.pdf
For more information on Shwachman-Diamond Syndrome, please see Shwachman-Diamond America
Showing posts with label Celiac. Show all posts
Showing posts with label Celiac. Show all posts
Friday, April 10, 2009
Thursday, May 22, 2008
What are the differences between Celiac and SDS?
A question came up on our support group, so I thought I would share my answer here. I am not a doctor, this is just my understanding. I thought it might be helpul for others.
What differences are there between Celiac and SDS?
While both Celiac and SDS cause fat malabsorption, the difference is the cause. Celiacs cannot tolerate wheat gluten. The gluten flattens the cilia of the intestines (damages them) and the intestines then cannot absorb nutrients and fat as they should. In severe cases of celiac, the blood counts can be affected due to nutritional deficiencies. Once the person stops ingesting gluten, the cilia in the intestines heal and the person starts to absorb nutrients and counts and deficiencies are reversed. Fat malabsorption in SDS comes from pancreatic exocrine dysfunction. Meaning that the pancreas does not produce enough enzymes for the person to digest food properly, most notably fat. People with SDS have bone marrow dysfunction that causes low blood counts (most frequently neutropenia, but other cell lines can be affected) These counts do not usually improve once the malabsorption is treated with pancreatic enzyme replacement therapy.
What differences are there between Celiac and SDS?
While both Celiac and SDS cause fat malabsorption, the difference is the cause. Celiacs cannot tolerate wheat gluten. The gluten flattens the cilia of the intestines (damages them) and the intestines then cannot absorb nutrients and fat as they should. In severe cases of celiac, the blood counts can be affected due to nutritional deficiencies. Once the person stops ingesting gluten, the cilia in the intestines heal and the person starts to absorb nutrients and counts and deficiencies are reversed. Fat malabsorption in SDS comes from pancreatic exocrine dysfunction. Meaning that the pancreas does not produce enough enzymes for the person to digest food properly, most notably fat. People with SDS have bone marrow dysfunction that causes low blood counts (most frequently neutropenia, but other cell lines can be affected) These counts do not usually improve once the malabsorption is treated with pancreatic enzyme replacement therapy.
Thursday, March 27, 2008
Gluten Free Cookbooks
The Celiac topic comes up frequently on the SDS email list. We even have a few SDS kiddos who have celiac and SDS. We have family friends who have gluten intolerance and I have actally learned to make a few GF things for their visits. My friend says that any of Bette Hagman’s cookbooks are great. Especially the GF Gourmet Bakes Bread!
Since I have been asked about this so many times and keep having to go back to my friend to ask the name..... I decided that this time I would add it here --just in case I get asked again or anyone else may need the info.
Since I have been asked about this so many times and keep having to go back to my friend to ask the name..... I decided that this time I would add it here --just in case I get asked again or anyone else may need the info.
Sunday, March 9, 2008
Celiac and Pancreatic Insufficiency
This is an excellent article on Celiac and Pancreatic insufficiency.
Coeliac disease and pancreatic exocrine insufficiency
Click the above link for the entre article. Below is a small excerpt:
Historically, after diagnosis and the introduction of a gluten free diet, coeliac disease patients who experienced ongoing gastrointestinal symptoms were frequently suspected of failing to comply with their dietary restrictions.
However, evidence from a new study shows that around one third of these patients actually have a severe pancreatic exocrine insufficiency, which can be successfully managed by enzyme replacement therapy. This important finding can help substantially improve the quality of life of these patients.
Coeliac disease and pancreatic exocrine insufficiency
Click the above link for the entre article. Below is a small excerpt:
Historically, after diagnosis and the introduction of a gluten free diet, coeliac disease patients who experienced ongoing gastrointestinal symptoms were frequently suspected of failing to comply with their dietary restrictions.
However, evidence from a new study shows that around one third of these patients actually have a severe pancreatic exocrine insufficiency, which can be successfully managed by enzyme replacement therapy. This important finding can help substantially improve the quality of life of these patients.
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