QuestionSBA
QuestionChoice
This is incorrect. Coeliac disease is associated with hyposplenism, giving patients a higher susceptibility to infections.
10025967
c
Splenomegaly
QuestionChoice
This is correct. Iron is largely absorbed in the duodenum, which is extensively damaged in this patient. She is therefore at particular risk of iron deficiency anaemia, and should be monitored regularly.
10025965
a
Iron deficiency anaemia
QuestionChoice
This is incorrect. Patients with coeliac disease who do not adhere to a gluten-free diet are associated with an increased risk of enteropathy-associated T-cell lymphoma, which is a rare non-Hodgkin lymphoma.
10025966
b
Hodgkin lymphoma
QuestionChoice
This is incorrect. Cushing's syndrome is caused by exogenous glucocorticoid excess. The management of coeliac disease is a gluten-free diet or surgery in extreme cases. Whilst glucocorticoids are used in select, severe cases, there is no indication for their use in this case. This option is therefore incorrect.
10025968
d
Cushing's syndrome
QuestionChoice
This is incorrect. Electrolytes can be absorbed in the duodenum and upper jejunum, so cases of severe damage could lead to electrolyte abnormalities. However, hypokalaemia due to reduced absorption is more likely than hyperkalaemia. This option is therefore incorrect.
10025969
e
Hyperkalaemia
Concept
Chapter
2693
4236
Coeliac disease
Topic
136
Gastroenterology
17591
A 55 year old female patient with a long history of coeliac disease presents to her GP to discuss the findings of her recent endoscopy. It showed extensive damage to the lining of the duodenum and proximal jejunum.

Which of the following complications is this patient at risk of, given her endoscopy findings?
a