A 54-year-old man is evaluated by a gastroenterologist for - TopicsExpress

A 54-year-old man is evaluated by a gastroenterologist for diarrhea that has been present for approximately 1 month. He reports stools that float and are difficult to flush down the toilet; these can occur at any time of day or night, but seem worsened by fatty meals. In addition, he reports pain in many joints that lasts days to weeks and is not relieved by ibuprofen. His wife notes that the patient has had difficulty with memory for the last few months. He has lost 30 pounds and reports intermittent low-grade fevers. He takes no medications and is otherwise healthy. Endoscopy is recommended. Which of the following is the most likely finding on small-bowel biopsy? A. Dilated lymphatics B. Flat villi with crypt hyperplasia C. Mononuclear cell infiltrate in the lamina propria D. Normal small-bowel biopsy E. PAS-positive macrophages containing small bacilli

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