A 32-year-old woman presents with chronic diarrhea, weight loss, and iron deficiency anemia. She also has intermittent pruritic vesicular rash on her ...

Question

A 32-year-old woman presents with chronic diarrhea, weight loss, and iron deficiency anemia. She also has intermittent pruritic vesicular rash on her extensor surfaces. Serology shows elevated tissue transglutaminase IgA. Which is the most appropriate next diagnostic step to confirm the diagnosis?

Accepted Answer

Upper endoscopy with duodenal biopsies

Answer

HLA-B27 testing

Answer

Colonoscopy with random colonic biopsies

Answer

Capsule endoscopy of the small bowel

Answer

CT enterography

us-abfm MCQ (SBA): Celiac Disease

A 32-year-old woman presents with chronic diarrhea, weight loss, and iron deficiency anemia. She also has intermittent pruritic vesicular rash on her extensor surfaces. Serology shows elevated tissue transglutaminase IgA. Which is the most appropriate next diagnostic step to confirm the diagnosis?