Table 2.
ABL | MVID | CTE | EED | EoGE | |
Underlying mechanism | MTP mutations | MyoVb mutations | EpCAM mutations | Neurogenin 3 mutation | Mixed T cell-IgE mediated immunity |
Accompanying disease | Acanthocytosis Neurologic abnormalities Retinitis pigmentosa |
None | Dysmorphic features including choanal, oesophageal or rectal atresia & autoimmune diseases | Insulin-dependent diabetes | Other allergic disorders |
Biopsy features | |||||
Villus architecture | Normal | Variable | Variable | Variable | Villus blunting |
Crypt architecture | Normal | Hyperplastic | Regenerative changes | Normal | Normal |
Lamina propria inflammation | Absent | Minimal/absent | Variable | Absent | Predominantly eosinophilic |
Intraepithelial lymphocytosis | Absent | Absent | Absent | Absent | Intraepithelial eosinophilia |
Diagnostic histopathologic feature | Enterocyte vacuolization | Loss of brush border with apical vacuolization | Epithelial tufts | Lack of enteroendocrine cells on ChA | Extensive mucosal eosinophilia |
Electron microscopy | Lipid vacuoles in enterocyte | Microvillus inclusion bodies | Not significant | Not significant | Not significant |