A 37-year-old woman presents with chronic diarrhoea and weight loss. Blood tests show microcytic anaemia and tissue transglutaminase (tTG) antibodies ...

Question

A 37-year-old woman presents with chronic diarrhoea and weight loss. Blood tests show microcytic anaemia and tissue transglutaminase (tTG) antibodies are strongly positive. What is the next most appropriate step?

Accepted Answer

Refer for upper GI endoscopy with duodenal biopsy while continuing a gluten-containing diet

Answer

Start a gluten-free diet immediately and arrange review in 6 months

Answer

Order colonoscopy

Answer

Start oral Iron only

Answer

Reassure that this is likely IBS

uk-plab-1 MCQ (SBA): Coeliac disease diagnosis

A 37-year-old woman presents with chronic diarrhoea and weight loss. Blood tests show microcytic anaemia and tissue transglutaminase (tTG) antibodies are strongly positive. What is the next most appropriate step?