Tropical sprue pathophysiology: Difference between revisions
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==Histology== | ==Histology== | ||
The histological changes of TS include: Flattening of the villi and small intestinal inflammation which are similar to an [[autoimmune disorder]] Coeliac disease (also known as ''[[coeliac sprue]]''). A complete flattening of the villi on small bowel biopsy is an uncommon finding in TS unlike Celiac disease. | The histological changes of TS include: Flattening of the villi and small intestinal inflammation which are similar to an [[autoimmune disorder]] Coeliac disease (also known as ''[[coeliac sprue]]''). A complete flattening of the villi on small bowel biopsy is an uncommon finding in TS unlike Celiac disease. | ||
{| class="wikitable" | |||
!Diagnosis | |||
!Villous morphology | |||
!Findings in Lamina propria | |||
!Involved portion of the GI tract | |||
|- | |||
|Tropical sprue | |||
|Mild to moderate blunting of the villi with an increased number of Intraepithelial lymphocytes. | |||
|Increased number of plasma cells and eosinophils. | |||
|Ileum > Duodenum > Colon | |||
|- | |||
|Celiac sprue | |||
|Variable, often there is a complete flattening of the villi. Always there is an increased number of Intraepithelial lymphocytes | |||
|Plasma cells > Eosinophils > Neutrophils. | |||
|Duodenum > Ileum. | |||
|} | |||
==References== | ==References== |
Revision as of 19:24, 15 February 2017
Tropical sprue Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
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Overview
Pathophysiology
Histology
The histological changes of TS include: Flattening of the villi and small intestinal inflammation which are similar to an autoimmune disorder Coeliac disease (also known as coeliac sprue). A complete flattening of the villi on small bowel biopsy is an uncommon finding in TS unlike Celiac disease.
Diagnosis | Villous morphology | Findings in Lamina propria | Involved portion of the GI tract |
---|---|---|---|
Tropical sprue | Mild to moderate blunting of the villi with an increased number of Intraepithelial lymphocytes. | Increased number of plasma cells and eosinophils. | Ileum > Duodenum > Colon |
Celiac sprue | Variable, often there is a complete flattening of the villi. Always there is an increased number of Intraepithelial lymphocytes | Plasma cells > Eosinophils > Neutrophils. | Duodenum > Ileum. |