Question

A 10-year old child presents with diarrhea and weight loss. On examination, the height and weight are lesser than expected. Laboratory investigations were positive for class II HLA-DQ2. Which of the following will you advise the child ?

• A. Fat free diet
• B. Lactose free diet
• C. Low carbohydrate diet
• D. Gluten free diet

Answer 1

The Correct Option is D

In this case, a 10-year-old child presents with symptoms of diarrhea and weight loss, along with being shorter and lighter than expected for their age. The laboratory tests show a positive result for class II HLA-DQ2. These findings suggest a likely diagnosis of Celiac Disease.

To understand the reasoning:

• Celiac Disease is an autoimmune disorder where ingestion of gluten leads to damage in the small intestine.
• Common symptoms in children include diarrhea, weight loss, and growth issues.
• Class II HLA-DQ2 positivity is strongly associated with Celiac Disease.

Given the above information, the appropriate dietary recommendation for the child is a gluten-free diet. Gluten, found in wheat, barley, and rye, must be eliminated to manage their condition effectively.

Therefore, the advised dietary change is:

• Gluten free diet