02/02/2025
A 55 year old man has diarrhoea and weight loss for 9 months. He has an intensely itchy red
rash on his buttocks and thighs.
Investigations:
Haemoglobin 108 g/L (130–175)
Blood film: anisocytosis
Which is the most likely histological appearance on small bowel biopsy?
A Hyperplasia of Brunner’s glands
B Increased intraepithelial macrophages
C Increased lymphocytes in submucosa
D Ulceration
E Villous atrophy
