Question

A 45-year-old man presents with chronic diarrhoea and weight loss. Coeliac serology (tTG-IgA) is strongly positive and duodenal biopsies show villous atrophy. What is the mainstay of long-term management?

Accepted Answer

Lifelong strict gluten-free diet

Answer

Long-term corticosteroids

Answer

Empirical antibiotics

Answer

Lactose-free diet alone

Answer

Pancreatic enzyme replacement

Practice question

A 45-year-old man presents with chronic diarrhoea and weight loss. Coeliac serology (tTG-IgA) is strongly positive and duodenal biopsies show villous atrophy. What is the mainstay of long-term management?