A 28-year-old man reports chronic diarrhoea, weight loss and fatigue. Examination reveals a blistering rash on his elbows. Blood tests show microcytic...

Question

A 28-year-old man reports chronic diarrhoea, weight loss and fatigue. Examination reveals a blistering rash on his elbows. Blood tests show microcytic anaemia and anti-tissue transglutaminase antibodies are strongly positive. What is the most appropriate next step in his management?

Accepted Answer

Arrange an upper gastrointestinal endoscopy with duodenal biopsies

Answer

Start a strict gluten-free diet immediately without further investigation

Answer

Order CT colonography to assess the colon

Answer

Reassure the patient that symptoms are functional

Answer

Start long-term systemic steroids

uk-plab-1 MCQ (SBA): Coeliac disease

A 28-year-old man reports chronic diarrhoea, weight loss and fatigue. Examination reveals a blistering rash on his elbows. Blood tests show microcytic anaemia and anti-tissue transglutaminase antibodies are strongly positive. What is the most appropriate next step in his management?