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Coeliac Disease — RACP Paediatrics MCQ

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EasyGastroenterologyCoeliac DiseaseRACP Paediatrics

A 10-year-old child with coeliac disease has been strictly adhering to a gluten-free diet for 12 months. Follow-up tTG antibodies have normalised. The family asks if gluten can be reintroduced. What is the appropriate advice?

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Correct answer: E — A gluten-free diet is lifelong and gluten should not be reintroduced

Coeliac disease requires a lifelong strict gluten-free diet. Normalisation of tTG antibodies indicates mucosal healing but does not indicate tolerance. Reintroduction of gluten will lead to relapse of intestinal inflammation and symptoms. There is no evidence that tolerance develops over time.

Reference: AUSPGHAN – 2024 – Position Statement on Management of Coeliac Disease in Children