backgrounds: iron deficiency anemia (ida) is one of the well recognized presentations of celiac disease (cd). according to the lack of data from our population in this regard, we determined the prevalence of cd in patients presenting with ida to see if it is worthwhile to do a precise screening for cd in such patients. methods: this cross-sectional study was conducted on patients referred with ...

strongyloides stercoralis is a soil-transmitted helminth (sth) widespread in various part of the world. a 78-yr-old peasant diabetic female from mazandaran province northern iran, was admitted to infection department of the razi hospital in city of qaemshahr, north of iran complaining about abdominal skin rash, pruritus, itching, anorexia, nausea, vomiting, dysuria and cough. this patient had c...

Small bowel morphometry was studied in 25 subjects under the age of 70 years and 22 over the age of 70. There was no evidence of malabsorption or malnutrition in either group. Two distal duodenal endoscopic biopsy specimens were examined morphometrically. There were no significant correlations between age and areas of duodenal surface epithelium, crypts and lamina propria, heights of villi and ...

A 59 year old man is presented with a diagnosis of dermatitis herpetiformis. Duodenal and skin biopsy specimens from blisters of both recent and late onset were collected before treatment. Electron microscopy, immunohistochemistry, and in situ hybridisation were performed to analyse the presence of activated eosinophils and the local synthesis of interleukin 5 (IL5). Parallel state of eosinophi...

A two days-old newborn female patient with Down Syndrome was admitted to our hospital with complaint of vomiting. Physical examination was unremarkable except for the typical physical appearance of Down Syndrome. An abdominal radiography showed the double-bubble sign, characteristic for duodenal obstruction, and the patient was operated with prediagnosis of duodenal atresia. However, during the...

Background and Aim: Celiac Disease (CeD) is a multisystemic disease in addition to the small intestine, also affects liver. The spectrum of liver involvement CeD includes cryptogenic hypertransaminasaemia/cirrhosis, autoimmune diseases vascular like Non-cirrhotic portal fibrosis (NCPF). There lack systematic study on prevalence patients with NCPF. Methods: All new biopsy-proven NCPF reporting c...

A 55-year-old male with history of coronary artery disease, chronic kidney disease stage 4, diabetes mellitus, uncontrolled hypertension (on multiple antihypertensive medications), and iron deficiency anemia was referred for esophagogastroduodenoscopy (EGD) for evaluation of intractable nausea and vomiting. EGD showed black speckled pigmentation of the duodenal mucosa (Figure 1). Duodenal biops...

Duodenal lymphangitis carcinomatosa has been sporadically described, and little attention has been paid so far. To our knowledge, no data on radiological findings for this rare entity has been published. We report a case of duodenal lymphangitis carcinomatosa secondary to gallbladder mass in a 44-year-old Indian man to focus on the radiological diagnosis, which was further confirmed by endoscop...

Background: Cytotoxin-associated gene A (CagA)-positive strains of Helicobacter pylori are associated with gastroduodenal diseases. Evidences have suggested that the type of H pylori CagA EPIYA motifs may be associated with specific disorders (i.e., gastritis, peptic ulcer, or gastric cancer).  We investigated the prevalence of different EPIYA motifs (A, B, C, or D) in H. pylori strains is...