the Gastrolab Endoscopy Quiz of the Month - Old Quizes and Answers: March 2001

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The Old Endoscopy Quiz (and Answer) of the Month
March 2001

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Question:


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This lady in her upper middle age had been treated for osteoporosis for years. Despite medication with vitamin D and calcium she was constantly hypocalcemic. During the last year she had suffered from diarrhea and lost 10 pounds of weight. The biopsy taken in the first of these three pictures from the descending part of the duodenum will of course give the name of her disease. What is it?

Answer

Coeliac disease. A very typical finding easy to recognize.

Correct answers were emailed by

Abdon Guerra, San Antonio, 5a region, CHILE
Virendra Parikh,MD, Fort Wayne,IN, USA

Pigeon Rocks, Beirut, Lebanon
    Zahreddine Radwan, Beirut, Lebanon
    Donald Wolochow, MD, La Jolla, CA, USA
    Ervin Toth, Sweden
    IGNACIO HANNA, GUAYAQUIL , ECUADOR
    Peeter Kőiva, Tartu, Estonia
    Rogério Godinho, Barreiro, Portugal
    Jon Meddings, Calgary, Canada, Alberta
    Jared Slanger, East Helena, Montana
    A.Kranz, Vienna, Austria
    zafer buyrac, izmir, turkey
    Virendra Parikh,M.D., fort wayne, Indiana,USA
    Enrique Bolona, Guayaquil, Ecuador
    Fernando Kon Jara, Portoviejo, Ecuador
    Lenzini Giovanni, Parma, Italy
    PARABOLI SILVA, Marcio Luiz M,.D. , CAMPO MOURAO-PARANA, BRAZIL
    Curt Tysk, Orebro, Sweden
    caio rossi, santa cruz do sul, Brasil/rs
    JILL WILSON, SCOTLAND


    Turku, Finland
    Reijo Grönfors, Turku, Finland
    Ann Raadik, Keila, Estonia
    Ali Tumi, Tripoli, Libya
    Erkki Kivilinna, Vaasa, Finland

    Comments:

    This finding could be a dudenal celiac disease or i am thinking in a duodenal xanthelasm, but my first answer is celiac disease because of the granularity that is seen in the picture.