Question

A 7-year-old girl presents with growth faltering and chronic diarrhoea. Her BMI is below the 2nd centile. What is the most appropriate initial investigation to screen for coeliac disease?

Accepted Answer

Tissue transglutaminase IgA antibodies and total IgA level

Answer

Anti-nuclear antibodies

Answer

Endomysial IgG antibodies only

Answer

Random small bowel biopsy without blood tests

Answer

Hydrogen breath test

Practice question

A 7-year-old girl presents with growth faltering and chronic diarrhoea. Her BMI is below the 2nd centile. What is the most appropriate initial investigation to screen for coeliac disease?