this 10 year boy came to my opd with complaint of short stature (height -93cm) with not gaining weight and significant abdominal distension and off and on loose stool, no urinary complaints o/e- pallor + no icterus, no murmer enlarged liver CBC,RFT,LFT, Serum electrolyte, chest x-ray x-ray wrist sent and report awaitef what could be possible DX
Diagnosis: • Celiac Sprue Management: 1. IgA TTG (first test) 2. Deodenal Biopsy ( a must for confirmation) 3. Gluten challenge (most helpful) 4. Genetic testing (optional) Histologic Staging of celiac disease via a deodenal biopsy is mandatory before treatment is started. Treatment: • Diet - Gluten / Gliadin free diet. In resistant and unresponsive patients, • Corticosteroids - Prednisolone 40 to 60 mg per day in two doses. Differential diagnosis includes: - Budd chiaroscuro Syndrome - Extrahepatic Portal Vein Obstruction - small intestinal lymphoma But these are highly unlikely in view of the clinical picture.
Coeliac disease Do ttg IGA This is only and sure diagnosis Please update afterwards
Celiac disease Give gluten free diet Oral multivitamin, calcium,vitD, iron supplements Plot growth chart & observe... D/D hypothyroidism, GH deficiency
Celiac disease. TTIg
Coeliac disease
RTAcidosis serelectrolytes karyotypomg hc03 levels
Rule out Hypothyroidism And Celiac disease
Coeliac disease
Coeliac
This pt final diagnosis came to be celiac disease
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