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T1DM – screen for thyroid and coeliac — RACP Paediatrics MCQ

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ModerateEndocrineT1DM – screen for thyroid and coeliacRACP Paediatrics

A child with T1DM should be routinely screened for which additional autoimmune conditions?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Autoimmune polyglandular syndrome type 1

Children with T1DM should be screened for: thyroid disease (TFTs + TPO antibodies at diagnosis then annually) and coeliac disease (tTG + total IgA at diagnosis then every 1-2 years for the first 5 years). Addison disease screening (21-hydroxylase antibodies) is not routine but should be considered if symptoms develop. T1DM clusters with other autoimmune conditions.

Reference: RCH Melbourne – 2023 – T1DM CPG; ISPAD – 2022