Simon Rabinowitz Ph.D MD Pediatric GI ,Chairman Department of Pediatric Richmond University Medical Center discusses testing celiac disease.
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Interviewee: And know if it inner is susceptive of having celiac disease; a simple blood test should be perform. The blood test is accurate in over 90% of Asians and it can be drawn by your doctor or by the laboratory it’s called the Tissue Transglutaminase Antibody IgA and if that test is positive as the screening test then further investigations are required to make the diagnosis. Interviewer: If a kid is IgA deficient we got this inaccurate? Interviewee: About 1 in 200 individuals are IgA deficient and the incidents of celiac disease in fact is a little bit higher so if you have a child in Tissue Transglutaminase IgA is normal and you still have this a sufficient of celiac disease then what should be send out is an IgA total IgA level as well as the Tissue Transglutaminase Igg. If the child continues to have symptoms suggesting of celiac disease despite a normal screen then the child should have an offer endoscopy with biopsy which is what is recommended to confirm the screening test both in United States as well as Europe.
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