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Tissue Transglutaminase - Iga (TTG)

Unit Test
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Details

Detects IgA antibodies against tissue transglutaminase, an enzyme involved in the autoimmune response in celiac disease

3991210

67% OFF

customers1000+ Booked this Test

🧪 What is Tissue Transglutaminase IgA (tTG-IgA)?

The tTG-IgA test detects IgA antibodies against tissue transglutaminase, an enzyme involved in the autoimmune response in celiac disease. It is a highly sensitive and specific serological marker used for screening and diagnosis.

❓ Why is the Test Done?

To:

  • Screen for celiac disease in patients with symptoms such as diarrhea, weight loss, and malabsorption
  • Confirm diagnosis of celiac disease along with intestinal biopsy
  • Monitor adherence to a gluten-free diet and disease activity
  • Evaluate patients with associated autoimmune disorders or first-degree relatives of celiac patients

📊 Normal Range

tTG-IgA Level

Interpretation

Negative or below cutoff

No evidence of celiac disease

Positive (above cutoff)

Suggestive of celiac disease

Cutoff values vary by assay and laboratory.

📈 Interpretation of Results

Result

Clinical Implications

Positive tTG-IgA

Strongly suggestive of celiac disease

Negative tTG-IgA

Celiac disease unlikely, unless IgA deficiency present

False negatives

Possible in IgA deficiency; consider total IgA measurement

🧠 Associated Conditions

Condition

Details

Celiac disease

Autoimmune gluten-sensitive enteropathy

IgA deficiency

May cause false-negative tTG-IgA test

Other autoimmune diseases

Associated autoimmune conditions (thyroid, type 1 diabetes)

🔄 Related / Follow-Up Tests

  • Total serum IgA – to exclude IgA deficiency
  • Endomysial antibody (EMA) test – confirmatory test
  • Small bowel biopsy – gold standard for diagnosis
  • Genetic testing (HLA-DQ2/DQ8) – supportive diagnosis
  • Anti-tTG IgG – useful if IgA deficient

✅ Fasting Required?

Test

Fasting Required

tTG-IgA

No

📝 Summary Table

Parameter

Details

What

IgA antibodies against tissue transglutaminase enzyme

Why

Screen and diagnose celiac disease

Normal Range

Negative or below cutoff

Positive Result

Suggestive of celiac disease

Associated Conditions

Celiac disease, IgA deficiency

Follow-up Tests

Total IgA, EMA, biopsy, genetic testing

Fasting Required

❌ No

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