A 36-year-old woman presents with chronic diarrhoea, weight loss and iron-deficiency anaemia. Serology shows elevated anti-tissue transglutaminase IgA...

Question

A 36-year-old woman presents with chronic diarrhoea, weight loss and iron-deficiency anaemia. Serology shows elevated anti-tissue transglutaminase IgA. According to Canadian celiac disease guidelines, what is the next best step?

Accepted Answer

Start a strict gluten-free diet and perform small bowel biopsy to confirm diagnosis

Answer

Reassure; serology alone is diagnostic and no further tests are needed

Answer

Order colonoscopy to exclude IBD only

Answer

Start steroids for presumed IBD

Answer

Advise lactose-free diet only

ca-mccqe1 MCQ (SBA): Celiac disease diagnosis

A 36-year-old woman presents with chronic diarrhoea, weight loss and iron-deficiency anaemia. Serology shows elevated anti-tissue transglutaminase IgA. According to Canadian celiac disease guidelines, what is the next best step?