If you see flat mucosal surface and lymphocytes in the lamina propia what does every good doc think of? ___________________ Smell the coffee! "Is That an Osler move??"
mdwannabe Forum Guru
Topics: 37 Posts: 1,133
11/10/04 - 05:39 PM
#2
Whipple? ___________________ "Life not lived for others, is not worth living" Uncle Einstein "A life is not important, except in the impact it has on other lives" -Jackie Robinson
MLF Forum Elite
Topics: 36 Posts: 386
11/10/04 - 05:41 PM
#3
Whipple is what I was thinking of also. ___________________ "Support bacteria, its the only culture some people got."
Javatea Forum Newbie
Topics: 1 Posts: 15
11/14/04 - 07:24 PM
#4
Celiac Disease.
Whipple is cauzed by infection, hence lot's of macrophages instead of lymphocytes which are usually seen in immunological diseases (high sensitivity).
Source: Pathology BRS
mdwannabe Forum Guru
Topics: 37 Posts: 1,133
11/14/04 - 07:43 PM
#5
that might be correct. Macs really are part of Whipple. Lymphs would be dominating in Celiac sprue. ___________________ "Life not lived for others, is not worth living" Uncle Einstein "A life is not important, except in the impact it has on other lives" -Jackie Robinson
asmi Forum Hero
Topics: 1043 Posts: 4,609
11/15/04 - 01:14 AM
#6
agree celiac or tropical sprue.
FreshDebu Forum Newbie
Topics: 4 Posts: 21
11/20/04 - 12:36 AM
#7
Yep, celiac or tropical. Then you'd need a history to differentiate between gluten sensitivity and a recent trip to the carribean.
mjl1717 Forum Hero
Topics: 958 Posts: 5,465
11/20/04 - 09:09 AM
#8
yeah its easy to confuse these 2?? *I was thinking Celiac Sprue with the abnormal D-xylose test. ___________________ Smell the coffee! "Is That an Osler move??"
Javatea Forum Newbie
Topics: 1 Posts: 15
11/21/04 - 07:07 PM
#9
In my humble opinion, any localized diseases like Sprue here MUST have support from patient's history. No history, no diagnosis. It should be mentioned in differential diagnosis though.
"mjl1717" wrote: yeah its easy to confuse these 2?? *I was thinking Celiac Sprue with the abnormal D-xylose test.
