Difference between revisions of "Talk:Intraepithelial lymphocytes"
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Small Bowel, Excision | Small Bowel, Excision during Gastric Bypass: | ||
- Small bowel wall with increased intraepithelial lymphocytes, otherwise within normal limits, see comment. | - Small bowel wall with increased intraepithelial lymphocytes, otherwise within normal limits, see comment. | ||
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The increased intraepithelial lymphocytes are likely explained by obesity; however, other causes (such as infection, inflammatory bowel disease and celiac disease) should be considered within the clinical context. | The increased intraepithelial lymphocytes are likely explained by obesity; however, other causes (such as infection, inflammatory bowel disease and celiac disease) should be considered within the clinical context. | ||
</pre> | </pre> | ||
==Focally increased== | |||
<pre> | |||
Small Bowel, Excision during Gastric Bypass: | |||
- Small bowel wall with focally increased intraepithelial lymphocytes, | |||
otherwise within normal limits, see comment. | |||
Comment: | |||
The focally increased intraepithelial lymphocytes may be explained by obesity. | |||
</pre> | |||
==Longer DDx== | |||
Potential causes of increased duodenal IELs include celiac disease, gastric Helicobacter infection (not seen), giardia (not seen), stasis/bacterial overgrowth, post-infectious states including post-viral gastroenteritis (which can spontaneously resolve), medications (such as NSAIDs and olmesartan), wheat-protein allergy (usually TTG negative), tropical sprue, agammaglobulinemia (unlikely as plasma cells present) and other protein allergies. | |||
Latest revision as of 15:56, 4 October 2023
Small Bowel, Excision during Gastric Bypass: - Small bowel wall with increased intraepithelial lymphocytes, otherwise within normal limits, see comment. Comment: The increased intraepithelial lymphocytes are likely explained by obesity; however, other causes (such as infection, inflammatory bowel disease and celiac disease) should be considered within the clinical context.
Focally increased
Small Bowel, Excision during Gastric Bypass:
- Small bowel wall with focally increased intraepithelial lymphocytes,
otherwise within normal limits, see comment.
Comment:
The focally increased intraepithelial lymphocytes may be explained by obesity.
Longer DDx
Potential causes of increased duodenal IELs include celiac disease, gastric Helicobacter infection (not seen), giardia (not seen), stasis/bacterial overgrowth, post-infectious states including post-viral gastroenteritis (which can spontaneously resolve), medications (such as NSAIDs and olmesartan), wheat-protein allergy (usually TTG negative), tropical sprue, agammaglobulinemia (unlikely as plasma cells present) and other protein allergies.