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Case prepared by: Christina A. Arnold
GI Pathology Fellow
Attending: Elizabeth Montgomery, M.D.
  Case 69
Clinical History: A 50 year-old Caucasian male underwent a biopsy of his duodenum. He presented with diarrhea and joint pain (Fig. 3: Periodic Acid-Schiff Diastase stain; Fig. 4: Immunohistochemical stain).
Images:
Image 1 Image 1
Image 2 Image 2
Image 3 Image 3
Image 4 Image 4
Choose the correct diagnosis:
  a. WhippleÂ’s disease
  b. Mycobacterium avium-intracellulare
  c. Rhodococcus
  d. Granular cell tumor
  e. Signet ring cell adenocarcinoma
 



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