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Autoimmune or celiac?


Jessiemyers

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Jessiemyers Newbie

Celiac runs in my family--my sister, a cousin. But I never had any issues with wheat until I went through early menopause at 48. Then I came down suddenly with this autoimmune disease called eosinophilic fascitis -- basically the fascia all over my body was inflamed. they did an mri -- scarring all along my forearms... they put me on high dose prednisone but it didnt really help. i did an elimination diet and discovered it was wheat.... now every time i eat wheat its the same thing: 48-72 hours later, the skin around my ankles wrists and upper back gets super tight.

 

has anyone heard of anything like this?


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trents Grand Master

Welcome to the forum, @Jessiemyers!

No, I have not heard of this kind of reaction to gluten in our celiac/NCGS forum community. There is an epidermal expression of gluten intolerance/celiac disease known as dermatitis hermpetiformis, which is a rash with pustules in the bumps, but what you describe doesn't sound like that.

Having said that, we are steadily adding to the list of symptoms and collateral health conditions caused by celiac disease which now numbers over 200.

Be aware that if you are intending to get tested for celiac disease you must be eating generous amounts of gluten daily for weeks leading up to the testing. We're talking about an amount of gluten equivalent to about 4-6 pieces of bread daily. Realize also that gluten is found not only in wheat but in barley and rye.

Scott Adams Grand Master

I've not heard of a connection before between celiac disease and eosinophilic fascitis, however given the high number of disorders that are related to celiac disease it's certainly possible that in some with eosinophilic fascitis, there might be a connection. While both conditions involve an abnormal immune response, there is no established connection between eosinophilic fasciitis and celiac disease. However, it's not uncommon for individuals with one autoimmune condition to be at a higher risk of developing another, due to the general dysregulation of the immune system. If someone has both conditions, it's likely coincidental rather than directly related.

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      Not necessarily. The "Gluten Free" label means not more than 20ppm of gluten in the product which is often not enough for super sensitive celiacs. You would need to be looking for "Certified Gluten Free" (GFCO endorsed) which means no more than 10ppm of gluten. Having said that, "Gluten Free" doesn't mean that there will necessarily be more gluten than "Certified Gluten" in any given batch run. It just means there could be. 
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      I think it is wise to seek a second opinion from a GI doc and to go on a gluten free diet in the meantime. The GI doc may look at all the evidence, including the biopsy report, and conclude you don't need anything else to reach a dx of celiac disease and so, there would be no need for a gluten challenge. But if the GI doc does want to do more testing, you can worry about the gluten challenge at that time. But between now and the time of the appointment, if your symptoms improve on a gluten free diet, that is more evidence. Just keep in mind that if a gluten challenge is called for, the bare minimum challenge length is two weeks of the daily consumption of at least 10g of gluten, which is about the amount found in 4-6 slices of wheat bread. But, I would count on giving it four weeks to be sure.
    • Paulaannefthimiou
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      thank you both for the insights. i agree, im going to back off on dairy and try sucraid. thanks for the tip about protein powder, i will look for whey protein powder/drinks!   i don’t understand why my doctor refused to order it either. so i’ve decided i’m not going to her again, and i’m going to get a second opinion with a GI recommended to me by someone with celiac. unfortunately my first appointment isn’t until February 17th. do you think i should go gluten free now or wait until after i meet with the new doctor? i’m torn about what i should do, i dont know if she is going to want to repeat the endoscopy, and i know ill have to be eating gluten to have a positive biopsy. i could always do the gluten challenge on the other hand if she does want to repeat the biopsy.    thanks again, i appreciate the support here. i’ve learned a lot from these boards. i dont know anyone in real life with celiac.
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      Let me suggest an adjustment to your terminology. "Celiac disease" and "gluten intolerance" are the same. The other gluten disorder you refer to is NCGS (Non Celiac Gluten Sensitivity) which is often referred to as being "gluten sensitive". Having said that, the reality is there is still much inconsistency in how people use these terms. Since celiac disease does damage to the small bowel lining it often results in nutritional deficiencies such as anemia. NCGS does not damage the small bowel lining so your history of anemia may suggest you have celiac disease as opposed to NCGS. But either way, a gluten-free diet is in order. NCGS can cause bodily damage in other ways, particularly to neurological systems.
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