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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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    • trents
      You might consider asking for a referral to a RD (Registered Dietician) to help with food choices and planning a diet. Even apart from any gluten issues, you will likely find there are some foods you need to avoid because of the shorter bowel but you may also find that your system may make adjustments over time and that symptoms may improve.
    • Ello
      I wish Dr’s would have these discussions with their patients. So frustrating but will continue to do research. Absolutely love this website. I will post any updates on my testing and results.  Thank you
    • trents
      Losing 12" of your small bowel is going to present challenges for you in nutritional uptake because you are losing a significant amount of nutritional absorption surface area. You will need to focus on consuming foods that are nutritionally dense and also probably look at some good supplements. If indeed you are having issues with gluten you will need to educate yourself as to how gluten is hidden in the food supply. There's more to it than just avoiding the major sources of gluten like bread and pasta. It is hidden in so many things you would never expect to find it in like canned tomato soup and soy sauce just to name a few. It can be in pills and medications.  Also, your "yellow diarrhea, constipation and bloating" though these are classic signs of a gluten disorder, could also be related to the post surgical shorter length of your small bowel causing incomplete processing/digestion of food.
    • Ello
      Yes this information helps. I will continue to be pro active with this issues I am having. More testing to be done. Thank you so much for your response. 
    • trents
      There are two gluten-related disorders that share many of the same symptoms but differ in nature from each other. One is known as celiac disease or "gluten intolerance". By nature, it is an autoimmune disorder, meaning the ingestion of gluten triggers the body to attack it's own tissues, specifically the lining of the small bowel. This attack causes inflammation and produces antibodies that can be detected in the blood by specific tests like the TTG-IGA test you had. Over time, if gluten is not withheld, this inflammation can cause severe damage to the lining of the small bowel and even result in nutrient deficiency related health issues since the small bowel lining is organ where all the nutrition found in our food is absorbed.  The other is NCGS (Non Celiac Gluten Sensitivity or just "gluten sensitivity") which we know less about and are unsure of the exact mechanism of action. It is not an autoimmune disorder and unlike celiac disease it does not damage the lining of the small bowel, though, like celiac disease, it can cause GI distress and it can also do other kinds of damage to the body. It is thought to be more common than celiac disease. Currently, we cannot test for NCGS. Celiac disease must first be ruled out to arrive at a diagnosis of NCGS. Both disorders require elimination of gluten from the diet.  Either of these disorders can find their onset at any stage of life. We know that celiac disease has a genetic component but the genes are inactive until awakened by some stress event. About 40% of the general population has the genetic potential to develop celiac disease but only about 1% develop active celiac disease. The incidence of NCGS is thought to be considerably higher. I hope this helps.
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