Patient no 48
A 7 years old male child presented with history of diarrhea, anorexia,
abdominal distension and vomiting for the last 3 years. His height and
weight are at 5th and 7th percentile, respectively.
a. What is the most likely diagnosis?
b. Suggest one most important biochemical investigation for confirmation
of the diagnosis.
a. Coeliac Disease
b. Xylose Absorption Test (anti-tissue transglutaminase antibody (TTG) may also be accepted to give benefit of doubt
about the nature of TTG test i.e. biochemical or not).
Ref No 8
Clinical features and diagnosis of malabsorption