PMC6522162_01
Low-power view showing moderate villous stunting and crypt hyperplasia, consistent with Marsh class 3b (H&Ex40)
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His old record revealed him to be a diagnosed case of celiac disease, having been diagnosed 3 years prior to this admission, which was based upon his Tissue Transglutaminase serology (TTG serology) and duodenal biopsy report (Figure 1).
Physical appearance of the patient
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On examination, he appeared severely wasted with thin brittle hair along with dry skin and had prominent costal margins (Figure 2).