Talk:Celiac sprue - Revision history

Michael: /* Mild increase of IELs */

2014-02-25T20:12:46Z

Mild increase of IELs

← Older revision		Revision as of 20:12, 25 February 2014
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	- SMALL BOWEL MUCOSA WITH MILDLY INCREASED INTRAEPITHELIAL LYMPHOCYTES		- SMALL BOWEL MUCOSA WITH MILDLY INCREASED INTRAEPITHELIAL LYMPHOCYTES
	(~30 LYMPHOCYTES/100 ENTEROCYTES) WITHOUT SIGNIFICANT CHANGES OF THE		(~30 LYMPHOCYTES/100 ENTEROCYTES) WITHOUT SIGNIFICANT CHANGES OF THE
	VILLOUS ARCHITECTURE.		VILLOUS ARCHITECTURE, SEE COMMENT.
	- NEGATIVE FOR ACTIVE INFLAMMATION.		- NEGATIVE FOR ACTIVE INFLAMMATION.
	- NEGATIVE FOR DYSPLASIA.		- NEGATIVE FOR DYSPLASIA.

Michael: /* Mild increased IELs */

2014-02-25T20:05:52Z

Mild increased IELs

← Older revision		Revision as of 20:05, 25 February 2014
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	D. Esophagus; biopsy - no pathologic diagnosis. <br>		D. Esophagus; biopsy - no pathologic diagnosis. <br>

	== Mild ~~increased~~ IELs ==		== Mild increase of IELs ==

	<pre>		<pre>

Michael: /* Mild increased IELs */ new section

2014-02-25T20:05:43Z

Mild increased IELs: new section

← Older revision		Revision as of 20:05, 25 February 2014
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	C. Gastric body, biopsy - no pathologic diagnosis. <br>		C. Gastric body, biopsy - no pathologic diagnosis. <br>
	D. Esophagus; biopsy - no pathologic diagnosis. <br>		D. Esophagus; biopsy - no pathologic diagnosis. <br>

			== Mild increased IELs ==

			<pre>
			SMALL BOWEL, BIOPSY:
			- SMALL BOWEL MUCOSA WITH MILDLY INCREASED INTRAEPITHELIAL LYMPHOCYTES
			(~30 LYMPHOCYTES/100 ENTEROCYTES) WITHOUT SIGNIFICANT CHANGES OF THE
			VILLOUS ARCHITECTURE.
			- NEGATIVE FOR ACTIVE INFLAMMATION.
			- NEGATIVE FOR DYSPLASIA.

			COMMENT:
			The number of intraepithelial lymphocytes (IELs) in celiac disease is typically higher than
			40 per 100 enterocytes. A mild increase of IELs is a nonspecific finding. Serology for
			celiac disease could be considered, if not done. Clinical correlation is suggested.
			</pre>

Michael: /* Final diagnosis */ fix sp. marsh

2011-03-02T20:14:08Z

Final diagnosis: fix sp. marsh

← Older revision		Revision as of 20:14, 2 March 2011
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	===Final diagnosis===		===Final diagnosis===
	A. Duodenum, biopsy - duodenum with moderate focal crypt hyperplasia and mild focal villous atrophy in keeping with celiac disease with: <br>		A. Duodenum, biopsy - duodenum with moderate focal crypt hyperplasia and mild focal villous atrophy in keeping with celiac disease with: <br>
	: i) modified ~~March~~ grade 1. <br>		: i) modified Marsh grade 1. <br>
	B. Gastric antrum, biopsy - no pathologic diagnosis. <br>		B. Gastric antrum, biopsy - no pathologic diagnosis. <br>
	C. Gastric body, biopsy - no pathologic diagnosis. <br>		C. Gastric body, biopsy - no pathologic diagnosis. <br>
	D. Esophagus; biopsy - no pathologic diagnosis. <br>		D. Esophagus; biopsy - no pathologic diagnosis. <br>

Michael: /* Final diagnosis */

2011-03-02T20:13:17Z

Final diagnosis

← Older revision		Revision as of 20:13, 2 March 2011
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	===Final diagnosis===		===Final diagnosis===
	A. Duodenum, biopsy - duodenum with moderate focal crypt hyperplasia and mild focal villous atrophy in keeping with celiac disease with: <br>		A. Duodenum, biopsy - duodenum with moderate focal crypt hyperplasia and mild focal villous atrophy in keeping with celiac disease with: <br>
	: i) modified March 1. <br>		: i) modified March grade 1. <br>
	B. Gastric antrum, biopsy - no pathologic diagnosis. <br>		B. Gastric antrum, biopsy - no pathologic diagnosis. <br>
	C. Gastric body, biopsy - no pathologic diagnosis. <br>		C. Gastric body, biopsy - no pathologic diagnosis. <br>
	D. Esophagus; biopsy - no pathologic diagnosis. <br>		D. Esophagus; biopsy - no pathologic diagnosis. <br>

Michael: create

2011-03-02T20:12:00Z

create

New page

:See also: ''[[Talk:Esophagus]]''.

==Celiac sprue==
===Microscopic description===
A. The sections shows small bowel mucosa with Brunner's glands and a moderate number of intraepithelial lymphocytes (~30-40 lymphocytes/100 enterocytes). There is focal mild blunting of the villi and moderate crypt hyperplasia. The intraepithelial lymphocytes are more prominent at the tips of the villi. The lamina propria contains a moderate number of plasma cells and lymphocytes, and rare eosinophils. There is no dysplasia. 
B. The sections show normal antral-type gastric mucsoa. 
C. The sections show normal body-type gastric mucosa. 
D. The sections show normal esophageal-type mucosa. 

===Final diagnosis===
A. Duodenum, biopsy - duodenum with moderate focal crypt hyperplasia and mild focal villous atrophy in keeping with celiac disease with: 
: i) modified March 1. 
B. Gastric antrum, biopsy - no pathologic diagnosis. 
C. Gastric body, biopsy - no pathologic diagnosis. 
D. Esophagus; biopsy - no pathologic diagnosis.