06.05.2013 - Pediatric Tutorial Cases

Question 1

This is the duodenum. What is abnormal about it?

Answer 1

We see villus atrophy / flat villi, crypt hyperplasia, and inter-epithelial lymphocytes characteristic of celiac disease.

Question 2

What does this patient have?

Answer 2

Celiac disease

Question 3

Answer 3

Increased CD4 cells in the lamina propria and increased CD8 cells suggestive of celiac

Question 4

This is the small bowel. What do you see here that is unusual?

Answer 4

Inter Epithelial Lymphocytes In Small Bowel, consistent with celiac disease

Question 5

Answer 5

Allergic Proctocolitis - increased eosinophils in the colon without crypt architectural changes

Question 6

Answer 6

Allergic Proctocolitis

Question 7

Answer 7

Eosinophilic Esophagitis - this could be mistaken for candidiasis except for the presence of eosinophils

Question 8

Answer 8

Eosinophilic Esophagitis

Question 9

Answer 9

Food in the esophagus due to eosinophilic esophagitis

Question 10

Answer 10

Furrows - long furrowed lines suggest eosionophilic esophagitis

Question 11

Answer 11

Left - Normal, Right - Eosinophilic Gastroenteritis, note huge infiltration by eosinophils

Question 12

Answer 12

Left - Normal, Right - Eosinophilic Gastroenteritis

Question 13

Answer 13

Normal esophagus

Question 14

Answer 14

Rings - Felinization or Tracheazation of the esophagus