Lymphocytic gastritis
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Lymphocytic gastritis, abbreviated LG, is a rare form of gastritis, typically associated with celiac disease or Helicobacter pylori infection.
Lymphocytic gastritis | |
---|---|
Diagnosis in short | |
| |
LM | intraepithelial lymphocytes (>25 lymphocytes/100 epithelial cells) |
Subtypes | primary (idiopathic), secondary |
LM DDx | Helicobacter gastritis, Crohn's disease, lymphoma |
Site | stomach |
| |
Associated Dx | celiac disease (common), HIV |
Clinical history | dependent on underlying cause |
Prevalence | rare |
Prognosis | benign |
Treatment | dependent underlying cause |
General
The DDx is limited:
- Celiac disease - most common (39 of 82 cases in one series[1]).
- Helicobacter gastritis - common (30 of 82 cases in one series[1]).
- NSAIDs.[citation needed]
- Idiopathic.
- HIV/AIDS.
- Crohn's disease.
- Lymphoma.
Microscopic
Features:[2]
- 25 lymphocytes / 100 epithelial cells.
DDx:
- Helicobacter gastritis - Helicobacter-like organisms present.
- Lymphoma - esp. MALT lymphoma.