Histology 2

The above material was obtained on endoscopy of the small bowel of a Sydneysider with no history of recent travel. Which of the following is incorrect;

1) Triple therapy is not indicated

2) The pathogenic protein is 33 amino acids in length

3) Anti-transglutaminase (tTG) or Anti-endomysium (EMA) antibody levels can be used to determine the state of recovery of this condition

4) The inflammation that defines this condition is initiated by a HLA-DQ2 restricted T-cell response

5) Other rarer causes of this appearance include;

• Protein Calorie Malnutrition
• Kwashiorkor
• Mediterranean Lymphoma
• Parasitic Disease including giardiasis, Coccidiosis, hookworm disease.

Answer

3