case_images: PMC4813628_01
case_images: Celiac disease - endoscopic appearance
case_images: JMedLife-07-99-g001.jpg
case_images: PMC4813628_01_JMedLife-07-99-g001.jpg
case_images: F1
case_images: Upper digestive endoscopy showed the loss of Kerckring folds in the descending duodenum, which is a characteristic feature for celiac disease (Fig. 1).
case_images: Marked villous atrophy and increased number of intraepithelial lymphocytosis, HE, 200x
case_images: JMedLife-07-99-g002.jpg
case_images: PMC4813628_01_JMedLife-07-99-g002.jpg
case_images: F2
case_images: Histologic examination completed with immunohistochemical tests confirmed the diagnosis of gluten-sensitive enteropathy grade 3 C ( Oberhuber): complete villous atrophy, decreased number of caliciform cells and lymphoplasmocitary infiltration of lamina propria with raised intraepithelial lymphocyte count (Fig. 2).
case_images: Immunohistochemistry: CD 3 positive intraepithelial T lymphocytes, 400x
case_images: JMedLife-07-99-g003.jpg
case_images: PMC4813628_01_JMedLife-07-99-g003.jpg
case_images: F3
case_images: Immunohistochemistry examination recognized typical findings: CD3 positive within intraepithelial lymphocytes, CD4 positive in the small lymphocytes of lamina propria and CD8 positive in the small intraepithelial lymphocytes (Fig. 3,4).