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<p class="ql-align-justify">(1) Superficial biopsy showing intact hyperplastic stratified squamous epithelium with mild infiltration by lymphocytes and plasma cells. No evidence of eosinophilic esophagitis. No evidence of intestinal or gastric metaplasia. No evidence of specific granulomas. No evidence of malignancy. </p><p class="ql-align-justify">(2) Duodenal mucosa showing mild infiltration by lymphocytes and plasma cells. Villi are intact and are negative for atrophy and ulceration. No evidence of specific granulomas. No evidence of malignancy</p><p class="ql-align-justify"><br></p>
<p class="ql-align-justify">Dysphagia and moderate anemia, whose endoscopic findings reveal proximal esophageal ring patterns suggestive of Eosinophilic Esophagitis, Grade B reflux esophagitis with a hiatal hernia, and a clinical suspicion of Celiac disease .</p>
<p>Two biopsies were received:</p><p class="ql-align-justify">1- Esophageal: soft tissue fragments collectively measured 0.5 cm, totally embedded.</p><p class="ql-align-justify">2- Duodenal: soft tissue fragments collectively measured 0.6 cm, totally embedded.</p>
<p><strong><em><u>Esophageal endoscopic biopsy:</u></em></strong></p><ul><li><strong>Superficial, intact hyperplastic esophageal squamous epithelium. </strong></li><li><strong>Negative for eosinophilic esophagitis, Barrett's esophagus, atypia or malignancy. </strong></li></ul><p><br></p><p><br></p><p><strong><em><u>Duodenum, Endoscopic biopsy: </u></em></strong></p><ul><li><strong>Mild chronic non-specific inflammation. </strong></li><li><strong>Negative for villous atrophy. </strong></li><li><strong>Negative for atypia or malignancy. </strong></li></ul>
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