48,830
edits
(→Final diagnosis: +comment) |
(→Lymphocytic colitis: new section) |
||
Line 52: | Line 52: | ||
====Comment==== | ====Comment==== | ||
The biopsies show features of chronicity and would be consistent with inflammatory bowel disease (IBD), a drug reaction, and chronic infection. There are no eosinophilic abscesses, as previously noted (see report for specimen S11-3965) and severe inflammation with ulceration. These findings make an eosinophilic enterocolitis unlikely. In the context of an IBD diagnosis, histologic features would favour ulcerative colitis over Crohn's disease. | The biopsies show features of chronicity and would be consistent with inflammatory bowel disease (IBD), a drug reaction, and chronic infection. There are no eosinophilic abscesses, as previously noted (see report for specimen S11-3965) and severe inflammation with ulceration. These findings make an eosinophilic enterocolitis unlikely. In the context of an IBD diagnosis, histologic features would favour ulcerative colitis over Crohn's disease. | ||
== Lymphocytic colitis == | |||
===Final diagnosis=== | |||
Rectosigmoid, biopsy: | |||
- Consistent with lymphocytic colitis, see comment. | |||
===Comment=== | |||
The biopsy shows abundant intraepithelial lymphocytes with a preserved crypt architecture. No thick subepithelial band of collagen is present. No granulomas are identified. The main histomorphologic differential diagnoses include resolving infection and early inflammatory bowel disease. |
edits