Talk:Celiac sprue: Difference between revisions
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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 | : 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> | ||
== Mild increase of IELs == | |||
<pre> | |||
SMALL BOWEL, BIOPSY: | |||
- SMALL BOWEL MUCOSA WITH MILDLY INCREASED INTRAEPITHELIAL LYMPHOCYTES | |||
(~30 LYMPHOCYTES/100 ENTEROCYTES) WITHOUT SIGNIFICANT CHANGES OF THE | |||
VILLOUS ARCHITECTURE, SEE COMMENT. | |||
- 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> | |||