By vgreene, 7 January, 2015 In pts w s sx labs suggestive of malabsorption or CD 1 2 detection of CD specific antibodies useful for initial screening intestinal bx required in most pts to confirm dx
By vgreene, 7 January, 2015 In children or symptomatic adults unwilling unable to undergo endoscopy a combo of high level TTG IgA2 10x ULN w positive EMA4 in 2nd blood sample is suggested as a reliable test for CD dx C M Serology should be performed while pt is on a regular gluten c
By vgreene, 7 January, 2015 EGD w multiple duodenal biopsies3 is recommended for confirming dx in children and adults w suspicion of CD S M
By vgreene, 7 January, 2015 Signs/sx/labs suggesting malabsorption or CD (chronic diarrhea, wt ↓, steatorrhea, postprandial abdo pain/bloat, IBS, T1DM w/ GI sx, ↑ liver enzymes, Fe-deficiency, premature osteoporosis, dermatitis herpetiformis, thyroid dz, etc)