PMC5357530_01
(a) Duodenal villous blunting, HE stain, 10x. (b) Duodenal villous blunting, oedema, HE stain, 10x. (c) Intraepithelial lymphocytosis and lack of plasma cells, HE stain, 10x. (d) Immunohistochemistry CD3-T lymphocytes positive. (e) Immunohistochemistry MUM 1 plasma cells negative.
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fig1
We repeated GI endoscopies: upper GI endoscopy found a chronic duodenitis with villous atrophy and intraepithelial lymphocytosis and lack of plasma cells (Figure 1).
Sagittal and axial T2 weighted MRI images. Vertebral height, disc height, alignment, and bone marrow signal are within normal limits. The canal and neural exit foramina are capacious at all levels.
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fig2
Magnetic resonance imaging of the spine was normal (Figure 2).