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Help with biopsy report


Hannahamymorris

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Hannahamymorris Newbie

Hello . I’m uk based I hope that’s ok .

i have had 2 positive ttg blood tests and have fought to get my results for my biopsy as the follow up appointment was 4 months after the original biopsy .

i have now got a copy but no one has explained it to me which is great .

can anyone help me . I just want to know it’s been months . 


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cyclinglady Grand Master

What were the test results?  

Hannahamymorris Newbie

It says I have normal Villous architecture.Patchy Increase In Intraepithelial lymphocytes . The crypts are slightly hyper plastic . 

No giardia, inflammation or granulomas . The features s are those of Intraepithelial lymphocytosis . Clinical and serological correlation is advised .

conclusion - Intraepithelial lymphocytosis. .

 

Thats all I got ? 

cyclinglady Grand Master

Did your doctor advise a gluten free diet?  

HannahZ Newbie

I am sorry you have to wait so long to speak to the doctor. I’m also sorry you haven’t received more replies here.

There’s info online about a study where they looked at people who had endoscopy findings like yours specifically the lymphocytosis. Sometimes, the patients were later diagnosed with celiac disease but other times the conclusion was it came from use of NSAIDs like Advil. Therefore the pathology finding was non-specific. However, I think the “clinical and serological correlation” comment in YOUR report could hint at the combo of your endoscopy findings and the positive TTG - as indicating celiac in your case.

I think you should feel free to start a gfd or not and do as you prefer until you see the doctor. If you feel better on the gfd that might even help the doctor with interpreting your results. 

I hope you hear from someone who had a report similar to yours- that would be great. Alternatively and even better, maybe you will hear from the doctor sooner than you expect. That would be best!

Good luck and be well!

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