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Celiac disease, non-tropical sprue
A. Pathology
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Sensitivity to gluten in wheat, barley, oats & rye
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Flattened intestinal villi
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Lymphocytes/plasma cells in lamina propria
B. Radiology
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Dilatation of the small bowel
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Hypersecretion
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Early on, mucosal folds are thickened but later flatten
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Tropical sprue has a similar presentation, but has a
possible relation to infection. |
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Remember the rule of 3: Small bowel mucosal folds
>3 mm represents fold thickening; Proximal small bowel diameter
>3 cm represents dilatation. |
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