A 29-year-old woman presents with chronic diarrhoea, weight loss, and iron deficiency anaemia. Tissue transglutaminase IgA is markedly elevated, and d...

Question

A 29-year-old woman presents with chronic diarrhoea, weight loss, and iron deficiency anaemia. Tissue transglutaminase IgA is markedly elevated, and duodenal biopsy confirms villous atrophy. According to Canadian gastroenterology guidelines, what is the cornerstone of treatment?

Accepted Answer

Gluten-free diet for life

Answer

Lactose-free diet

Answer

Empiric steroids for 6 months

Answer

Probiotic supplementation

Answer

Watchful waiting with nutritional monitoring only

ca-mccqe1 MCQ (SBA): Coeliac disease management

A 29-year-old woman presents with chronic diarrhoea, weight loss, and iron deficiency anaemia. Tissue transglutaminase IgA is markedly elevated, and duodenal biopsy confirms villous atrophy. According to Canadian gastroenterology guidelines, what is the cornerstone of treatment?