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COELIAC DISEASE - The duodenal mucosa


High resolution image: Mucosa in the descending duodenum in a patient with Coeliac Disease

The Normal Duodenal Mucosa

This picture is here just for comparision. This is a normal finding in descendet duodenum, with smooth and "beautiful" mucosal folds. Of course, one should always take biopsies also from normal looking mucosa in the duodenum. In the picture to the right, very tiny changes typical for celiac disease are seen.


Click on an image to get a magnification!

The Duodenal Mucosa in Celiac disease

It is almous always possible to see a slight granulation in the duodenal mucosa when the patient has an untreated celiac disease. Histologically, biopsies taken from these patients, show subtotal villous atrophy.

The Duodenal Mucosa in Celiac Disease

For all his life, this 50 years old man had suffered from anemia. During school years, he was often so weak, that he fainted. This picture shows the reason for this - one can clearly see the slight granulation typical for celiac disease

A blown up black and white picture of the duodenal mucosa in celiac disease

This is a detail study of the mucosal folds i celiac disease. When you have seen this finding once, you will always recognise it! To the right, a blown up picture with the same findings.

The Duodenal Mucosa in Celiac Disease

This young lady was examined because of iron deficiency anaemia. In the left picture a biopsy forceps is seen, and the biopsy will verify the diagnosis, which however is quite clear already from this picture.

The Duodenal Mucosa in Celiac Disease

Usually, the mucosa in the duodenum is smooth and beautiful. The difference betseen normal mucosa and mucosa in celiac disease is quite clear - after that You have seen it in a few patients.


High resolution image: Mucosa in the descending duodenum in a patient with Coeliac Disease. Thsi image has been sharpened in order to enhance the mucosal changes.