Medicine – MCQ 23 – A patient presents with chronic small bowel diarrhea, duodenal biopsy shows villous atrophy. Anti endomysial antibodies and IgA TTG antibodies are positive.

A patient presents with chronic small bowel diarrhea, duodenal biopsy shows villous atrophy. Anti endomysial antibodies and IgA TTG antibodies are positive. What is the treatment of choice?
A. Gluten free diet
B. Antibiotics
C. Loperamide
D. 5—ASA

Answer:A. Gluten free diet

The clinical picture and investigation findings are suggestive of coeliac sprue. The treatment is gluten free diet.

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