Celiac disease; histopathological evaluation of endoscopic duodenal [D2] biopsies in patients

ABSTRACT

To find out the Modified Marsh type of celiac disease [CD] patients on histopathological examination of duodenal [D2] biopsies and to correlate it with tissue transglutaminase IgA levels. Cross sectional study. Place of Histopathology laboratory [Department of Pathology], Isra University Hospital and Asian Institute of Medical Sciences [AIMS], Hyderabad. July 2013 to December 2013. 96 patients with a history of malabsorption or atypical symptoms with clinical suspicion of CD were subjected to endoscopy. Endoscopic duodenal [D2] biopsies were taken regardless of age and gender. D2 biopsies were processed for histopathological examination under light microscopy. Out of 96 patients, 45 [46.9%] patients had moderate type of lamina propria inflammation along with highly significant p-value [0.0001].CD type 3a was observed in 34 patients [35.4%]. In this study the comparison of serological level of tissue Transglutaminase IgA [tTGA] and histological severity revealed significant correlation. All Modified Marsh types of CD with tTGA level seen in our study were highly significant [p-value 0.001]. In this study strong correlation was observed between the serological tTGA level and histological findings by Modified Marsh classification along with lamina propria inflammation of duodenal mucosa in CD patients