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Skin hurts/muscles hurt/body inflammation (almost positive it's autoimmune, but not sure if celiac)


mancalacat

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mancalacat Newbie

Hey all. I'm wondering if you guys have any experience or insight with this. My backstory is a little complicated...

I'm 22, female. I went gluten free about five years ago after doing some elimination trials for bad IBS and finding that removing gluten helped. It didn't really occur to me to test for celiac beforehand (for some reason... I was dumb), so I've never actually been tested. I'm gluten-free, but I treat it kind of like most people with lactose intolerance -- I'm not going to buy myself a cake, but I don't demand to see all the ingredients in a sauce at a restaurant to see if it has barley malt syrup, because I just never thought it was that bad. When I eat a significant amount of gluten, I feel awful and get weird symptoms like increased GI problems, feeling anxious and exhausted at the same time, foggy brain, unmotivated, and what feels like inflammation throughout my body -- it's like all my muscles hurt, my skin just *hurts* (it's kind of hard to explain), my eyes are puffy.

Now, I do have a rare autoimmune disease that I've been officially diagnosed with & have been dealing with since last winter (henoch-schonlein purpura, a form of vasculitis that mostly occurs in young kids) and so I have GI problems with that, along with skin problems & kidney problems that I take meds for, but it's not in remission yet. I know that puts me at risk for other autoimmune diseases, and I feel like I'm predisposed to autoimmune reactions just in general. I had a colonoscopy for GI problems a few months ago (they thought I had Crohn's at first) and just found "inflammation" but did not follow up further.

I mention that just as background, as I'm actually posting about the weird skin/muscle/body pain I deal with on occasion. I am just coming off of a really crazy stretch at work, where I pretty much ate what I could get my hands on just so I didn't pass out (I sound dramatic, but really I just get dizzy a lot lol). I am SURE I ingested some gluten in there, probably more than a little. The past couple days, I have been feeling increasingly like my body is weirdly inflamed -- not a new feeling, but not one that's been associated with the HSP (other autoimmune disease). I haven't been able to sleep well, and I've been pretty miserable, because my body hurts, and I don't believe I have any sort of infection or illness right now that could be causing it. I realize it totally could be another autoimmune disease/reaction or something else entirely, but I was wondering if any of you had insight as to if it's a "thing" in celiac/gluten intolerance... what could be causing it... and more than that, how to fix it! I have 3 more days of work (albeit less crazy) till I get a break and I'm kind of miserable, but at a loss of where to go next testing- and treatment-wise.

 

Thank you!! 


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gluten-free Survivor Rookie

It's indeed a possibility that you can have celiac disease. I had some of those symptoms that you mentioned  (the pains in my joints and muscles were horrible ), to wake up feeling drained and a host of other symptoms. 

I would recommend that you get a Celiac disease full panel test done or do a Genetic test.

mancalacat Newbie
12 minutes ago, gluten-free Survivor said:

It's indeed a possibility that you can have celiac disease. I had some of those symptoms that you mentioned  (the pains in my joints and muscles were horrible ), to wake up feeling drained and a host of other symptoms. 

I would recommend that you get a Celiac disease full panel test done or do a Genetic test.

I do need to eat gluten for 6 weeks before the test, is that correct?

Thank you, though! Besides those sx I also have a *lot* of GI problems, from cramping to burning/indigestion to diarrhea to blood to painful muscle spasms. But at this point I don't know what's due to the other disease, because I know that exacerbated my "IBS"

GFinDC Veteran

Hi,

You need to eat at least some gluten every day for 12 weeks before the blood tests, and for 2 weeks before the endoscopy.

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      Elevated tissue transglutaminase IgA (tTG-IgA) levels are highly specific for celiac disease, and they are a key biomarker used in its diagnosis. However, there are some rare instances where elevated tTG-IgA levels have been reported in conditions other than celiac disease. While these cases are not common, they have been documented in the literature. Below are some examples and references to studies or reviews that discuss these scenarios:  1. Non-Celiac Gluten Sensitivity (NCGS)    - NCGS typically does not cause elevated tTG-IgA levels, as it is not an autoimmune condition. However, some individuals with NCGS may have mild elevations in tTG-IgA due to intestinal inflammation or other factors, though this is not well-documented in large studies.    - Reference: Catassi, C., et al. (2013). *Non-Celiac Gluten Sensitivity: The New Frontier of Gluten-Related Disorders*. Nutrients, 5(10), 3839–3853. [DOI:10.3390/nu5103839](https://doi.org/10.3390/nu5103839)  2. Autoimmune Diseases    - Elevated tTG-IgA levels have been reported in other autoimmune conditions, such as type 1 diabetes, autoimmune hepatitis, and systemic lupus erythematosus (SLE). This is thought to be due to cross-reactivity or polyautoimmunity.    - Reference: Sblattero, D., et al. (2000). *The Role of Anti-Tissue Transglutaminase in the Diagnosis and Management of Celiac Disease*. Autoimmunity Reviews, 1(3), 129–135. [DOI:10.1016/S1568-9972(01)00022-3](https://doi.org/10.1016/S1568-9972(01)00022-3)  3. Chronic Liver Disease    - Conditions like chronic hepatitis or cirrhosis can sometimes lead to elevated tTG-IgA levels, possibly due to increased intestinal permeability or immune dysregulation.    - Reference: Vecchi, M., et al. (2003). *High Prevalence of Celiac Disease in Patients with Chronic Liver Disease: A Role for Gluten-Free Diet?* Gastroenterology, 125(5), 1522–1523. [DOI:10.1016/j.gastro.2003.08.031](https://doi.org/10.1016/j.gastro.2003.08.031)  4. Inflammatory Bowel Disease (IBD)    - Some patients with Crohn’s disease or ulcerative colitis may have elevated tTG-IgA levels due to intestinal inflammation and damage, though this is not common.    - Reference: Walker-Smith, J. A., et al. (1990). *Celiac Disease and Inflammatory Bowel Disease*. Journal of Pediatric Gastroenterology and Nutrition, 10(3), 389–391. [DOI:10.1097/00005176-199004000-00020](https://doi.org/10.1097/00005176-199004000-00020)  5. Infections and Parasites    - While infections (e.g., giardiasis) are more commonly associated with false-positive tTG-IgA results, chronic infections or parasitic infestations can sometimes lead to elevated levels due to mucosal damage.    - Reference: Rostami, K., et al. (1999). *The Role of Infections in Celiac Disease*. European Journal of Gastroenterology & Hepatology, 11(11), 1255–1258. [DOI:10.1097/00042737-199911000-00010](https://doi.org/10.1097/00042737-199911000-00010)  6. Cardiac Conditions    - Rarely, heart failure or severe cardiovascular disease has been associated with elevated tTG-IgA levels, possibly due to gut ischemia and increased intestinal permeability.    - Reference: Ludvigsson, J. F., et al. (2007). *Celiac Disease and Risk of Cardiovascular Disease: A Population-Based Cohort Study*. American Heart Journal, 153(6), 972–976. [DOI:10.1016/j.ahj.2007.03.019](https://doi.org/10.1016/j.ahj.2007.03.019)  Key Points: - Elevated tTG-IgA levels are highly specific for celiac disease, and in most cases, a positive result strongly suggests celiac disease. - Other conditions causing elevated tTG-IgA are rare and often accompanied by additional clinical findings. - If celiac disease is suspected, further testing (e.g., endoscopy with biopsy) is typically required for confirmation. If you’re looking for more specific studies, I recommend searching PubMed or other medical databases using terms like "elevated tTG-IgA non-celiac" or "tTG-IgA in non-celiac conditions." Let me know if you’d like help with that!
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