case_images: PMC6522162_01
case_images: Low-power view showing moderate villous stunting and crypt hyperplasia, consistent with Marsh class 3b (H&Ex40)
case_images: PAMJ-32-25-g001.jpg
case_images: PMC6522162_01_PAMJ-32-25-g001.jpg
case_images: f0001
case_images: 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).
case_images: Physical appearance of the patient
case_images: PAMJ-32-25-g002.jpg
case_images: PMC6522162_01_PAMJ-32-25-g002.jpg
case_images: f0002
case_images: On examination, he appeared severely wasted with thin brittle hair along with dry skin and had prominent costal margins (Figure 2).