Question
A 7-year-old girl presents with a chronic history of loose stools and bloating for 1 year. She has been diagnosed with Type 1 Diabetes mellitus at 3 years of age and ever since she has been on insulin and maintaining blood sugars well.O/E the girl was pale and the stunted ( height for age
| A. |
Start oral ofloxacin plus ornidazole stat
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| B. |
Get levels of serum IgA anti-tTG
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| C. |
Prepare for a duodenal biopsy
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| D. |
Workup for abdominal Kochs
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Show Answer
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Correct Answer � B
Explanation
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Ans. B. Get levels of serum IgA anti-tTG
Explanation: Children with autoimmune diseases like type 1 DM are at risk for developing other autoimmune illnesses like celiac disease, autoimmune thyroiditis, etc, and hence regular screening is recommended. Here the girl has symptoms consistent with celiac disease (long-standing history of loose stools, bloating, anemia, and short stature). So the best screening tool to diagnose it is a serum IgA anti-tTG level, and duodenal biopsy is usually performed for definitive diagnosis before starting on a gluten-free diet Abdominal Kocks and acute gastroenteritis are less likely to present this way.
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