Celiac Disease - VCU Internal Medicine Electronic Residency ...

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Diagnosis - Serology Antihuman-Tissue Transglutaminase (tTG) IgA ELISA assay uses human or guinea pig sensitivity > 90% specificity > 95% relative agreement 96.2% cost $76.50 Anti-Endomysial (EMA) IgA Immunofluorecence assay uses human umbilical cord or monkey esophagus sensitivity > 90% specificity > 95% relative agreement 99% cost $132.50
Diagnosis - Serology Anti-Gliadin (AGA) IgA ELISA assay sensitivity 80% specificity 80-90% relative agreement 97.4% cost $28 Anti-Gliadin (AGA) IgG ELISA assay sensitivity ~80% specificity ~80% however, PPV may only be 2%! relative agreement 81.7% cost $28
Page 1 and 2: Chief’s s Conference John Port, M
Page 3 and 4: Celiac Disease - Background • Pre
Page 5 and 6: Celiac Disease - Subphenotypes Sile
Page 7 and 8: Associated Conditions Dermatologic
Page 9 and 10: Associated Conditions (cont’d) He
Page 11 and 12: Alopecia Areata
Page 13 and 14: Associated Conditions (cont’d) Rh
Page 15 and 16: Who should be screen for CD Green a
Page 17: Diagnosis - Serology • Sensitivit
Page 21 and 22: Diagnosis - Intestinal Biopsy • B
Page 23 and 24: Diagnosis - HLA Typing HLA DQ2 or D
Page 25 and 26: Completing the Diagnosis • Trial
Page 27: CELIAC DISEASE A Lifetime Without B

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