Western North Carolina Woman
March 2011 Vol. 10 No. 3
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Reichelt KL, Ekrem J, Scott H. Gluten, Milk proteins and Autism: Dietary intervention effects on childhood autism.
J Appl Nutr. 1990; 42

Cade RJ, Privette RM, Fregly M, Rowland N, Sun Z, Zele V, Wagemaker H, Edelstein C. Autism and schizophrenia: Intestinal disorders. Nutritional Neuroscience. 2000; 3: 57-72.

Biesiekierski, et al. Gluten Causes Gastrointestinal Symptoms in Subjects Without Celiac Disease: Am J Gastroenterol advance online publication, 11 January 2011; doi: 10.1038/ajg.2010.487

From the Celiac Disease Foundation: celiac.org

Recommended Blood Tests:
A person seeking diagnosis MUST be following a daily diet that contains gluten for at least 4 weeks in order for test results to be accurate. Specific antibody blood tests are the initial step in screening for CD. Patients should always consult with a physician to ensure proper diagnosis.

Anti-tissue transglutaminase antibody (tTG – IgA and IgG)
commonly used whether or not symptoms are present and the most sensitive test available
Anti-endomysial antibody (EMA-IgA) – highly specific marker for celiac disease
Anti-deaminated gliadin peptide (DGP – IgA and IgG)
used when tTG or EMA is negative and in cases where patient is IgA deficient

Total serum IgA – used to check levels to exclude selective IgA deficiency that results in a false negative test
Anti-gliadin antibody (AgA – IgG and IgA) not considered sensitive or specific enough for adults, but used for children under 2 because tTG and EMA antibodies may be absent. The anti-DGP test is sensitive in this group.

Western North Carolina Woman
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