Abstract
A 48-year-old woman presented with chronic abdominal pain, loss of appetite, and weight loss. Upper endoscopy revealed a diffuse thickened mucosa of the stomach and duodenum (figure, A). Evaluation of gastric mucosa with narrow-band imaging and near focus showed a complete distortion of the mucosal surface pattern and aberrant microvasculature (figure, B). Haematoxylin and eosin staining of gastric and duodenal biopsies revealed an intense atrophy of the mucosa with thick eosinophilic tissue that completely infiltrated the lamina propria (figure, C).
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