Question

A 35-year-old woman presents with a 3-month history of diarrhoea, weight loss and iron deficiency anaemia. Serology shows elevated tissue transglutaminase IgA antibodies. What is the MOST appropriate next step?

Accepted Answer

Refer for upper endoscopy with duodenal biopsies

Answer

Start a gluten-free diet and no further tests

Answer

Order colonoscopy only

Answer

Repeat serology in 12 months

Answer

Treat with iron alone

Practice question

A 35-year-old woman presents with a 3-month history of diarrhoea, weight loss and iron deficiency anaemia. Serology shows elevated tissue transglutaminase IgA antibodies. What is the MOST appropriate next step?