Question

A 28-year-old woman presents with intermittent diarrhoea, bloating and iron deficiency anaemia. Serology shows positive anti-tissue transglutaminase IgA antibodies. What is the most appropriate next step in management?

Accepted Answer

Commence a strict lifelong gluten-free diet and refer to a dietitian

Answer

Start empirical corticosteroids

Answer

Recommend a high-gluten diet

Answer

Reassure and repeat serology in 5 years

Answer

Start long-term loperamide

Practice question

A 28-year-old woman presents with intermittent diarrhoea, bloating and iron deficiency anaemia. Serology shows positive anti-tissue transglutaminase IgA antibodies. What is the most appropriate next step in management?