Celiac Disease Is Evaluated in Pediatrics — 3yo Child | Pediatric Endocrinology | SMLE Q#11167

SMLE Question #11167

Pediatrics Pediatric Endocrinology

Objective: OBJ-173

Last updated: February 2026
A 3-year-old boy with celiac disease is evaluated for progressive skeletal deformities. His parents report poor adherence to a gluten-free diet and no clinic follow-up for 6 months. He has become increasingly irritable and prefers sitting rather than walking. Physical examination shows frontal bossing, widened wrists, bowing of both legs, and a Harrison sulcus. What is the most appropriate pharmacologic management for his current condition?

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