CONTRIBUTION
1: Female
patiente, 36 years-old, with diagnosis of celiac disease
diagnosed 10 years ago. Patient was on a diet since that time,
with occassional transgressions, and no diarrhea. Since 3 months
ago presents with epigastric pain, colics y diarrhea, accompanied
by weight loss. The
first biopsies of this case (10 years ago) showed in the small
bowel (duodenum) grade III atrophy of the mucosa, and there was
positivity for antibody anti-gliadin. The patient has a rich
familiy history of immunologic diseases (chronic inflammatory
bowel disease, ankylosing spondylitis, diabetes mellitus type I)
and a son with celiac disease. We show a recent antral gastric
biopsy (HE)
(Immunoperoxidase: CD45 RO and CD3) and a jejunal biopsy
(HE) . See
Diagnosis
Technical information: The
images shown in this case were taken with a microscope Leica DM
LS with planachromatic lenses using a photographic camera Leica
MPS 30 with film "Kodak Ektachrome 64 ASA, Professional 135x24".
The slides have been scanned y digitized with a Hewlett-Packard
Photo Scanjet 4 C. The images were optimized in contrast,
brightness and sharpness and then compressed and saved in JPG
format in a Compact disc
Dra. Ana Maria de Oliveira Ramos, Laboratório Médico de Patologia
Natal - RN, Brazil
CONTRIBUTION
2: Male patient, 80 years-old, with jaundice of
1 month of evolution. Endoscopic examination showed a polypoid
lesion of the Ampulla of Vater (40x),
(100x), (200x-a),
(200x-b), (400x).
See
Diagnosis
Harold Cuello, M.D., Pathologist, Centro Medico Imbanaco de
Cali, Carrera 38A # 5A-100, Cali-Colombia