PMC5830540_01
Upper endoscopy showing severely denuded, fissured, and friable duodenal mucosa.
CG-CGCR180006F001.jpg
PMC5830540_01_CG-CGCR180006F001.jpg
F1
Upper endoscopy showed severely denuded, fissured, and friable duodenal mucosa (Figure 1).
Biopsy slides. (A) Duodenal villi are blunted and minimally congested. (B) Deep crypt infiltration and several crypt abscesses are noted. A significant expansion of the lamina propria is noted in the presence of chronic inflammatory cells, including numerous plasma cells. There is no evidence of granulomas or intranuclear inclusion bodies.
CG-CGCR180006F002.jpg
PMC5830540_01_CG-CGCR180006F002.jpg
F2
Duodenal villi were blunted and minimally congested, without granulomas or intranuclear inclusion bodies (Figure 2).