This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pathology
Which is not true regarding coeliac disease - 
Select and explain. 
A. Total and sub-total villous atrophy, B. Increased chance of lymphoma, C. Anti-gliadin antibody persists even after gluten free diet, D. ↑disacharidases
D: ↑disacharidases
Answer: D: ↑disacharidases 
Explanation: In coeliac sprue :

Total or subtotal villous atrophy  
Increased chance of lymphoma
Association with dermatitis herpetiformis
Antigliadin antibody
Secondary lactase deficiency
No mucosal atrophy
Lymphocytes in lamina propria

Following information have been added to 8th/e of Robbins

The most sensitive non-invasive serological tests are the presence of IgA antibodies to tissue transglutaminase or IgA/IgG antibodies to deamidated gliadin.
Anti-endomysial antibodies are highly specific but less sensitive.