Table 2.
Ultrastructural evaluation by electron microscopy of duodenal biopsies in IBS-like patients A qualitative score (++ = marked presence; + = presence; - = absence) was provided for widened junctional complexes, autophagy, apoptosis, altered mitochondria, lipid drops, chylomicrons, and mast cells. Legend: CTRL, control patients; JC, junctional complexes; NCGS, non-celiac gluten sensitivity; Ni ACM, Nickel allergic contact mucositis; tCD, treated celiac disease; uCD, untreated celiac disease; WA, wheat allergy. * microvilli length and inter-microvillar distance in uCD patients have been measured in those portions of epithelium surface not involved by total microvillar atrophy.
Transmission Electron Microscopy | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Groups | Gender | Age | Symptoms | Microvilli | JC | Auto Phagy | Apo Ptosis | Altered Mitochondria | Lipid Drops | Chylomicrons | Mast Cells | ||
Length | Distance | Regularity | |||||||||||
(A) uCD | 931.00 ± 30 * | 249 ± 10 * | |||||||||||
pt n.1 | F | 20 | diarrhea, anemia | atrophic/irregular and loosely packed | see graph | ++ | - | - | - | - | ++ | ||
pt n.2 | F | 63 | constipation, epigastralgia, heartburn | atrophic/irregular and loosely packed | ++ | - | - | - | - | + | |||
pt n.3 | M | 34 | Abdominal swelling, diarrhea | atrophic/irregular and loosely packed | ++ | - | + | - | - | - | |||
pt n.4 | F | 25 | abdominal pain, swelling, heartburn, asthenia | atrophic/irregular and loosely packed | + | - | - | - | - | ++ | |||
pt n.5 | F | 41 | abdominal pain, swelling, nausea, vomiting, headache | atrophic/irregular and loosely packed | ++ | - | - | - | - | + | |||
(B) tCD | 1439.10 ± 69 | 66.55 ± 7 | |||||||||||
pt n.1 | F | 51 | asymptomatic | regular butlooselypacked | See graph | ++ | - | + | - | - | - | ||
pt n.2 | M | 39 | acid regurgitation, headache | regular and tightly-packed | ++ | - | - | - | - | - | |||
pt n.3 | F | 21 | asymptomatic | regular and tightly-packed | + | - | - | - | - | - | |||
pt n.4 | F | 31 | asymptomatic | regular and tightly-packed | ++ | - | - | - | - | - | |||
pt n.5 | M | 64 | abdominal swelling, flatulence | regular and tightly-packed | + | - | - | - | - | - | |||
(C) WA | 1427.09 ± 71 | 46.23 ± 8 | |||||||||||
pt n.1 | F | 23 | diarrhea, abdominal pain, swelling, anemia, headache | regular and packed | see graph | ++ | - | + | - | + | - | ||
pt n.2 | F | 28 | abdominal pain, diarrhea | regular and packed | ++ | - | + | - | + | + | |||
pt n.3 | F | 41 | diarrhea, abdominal swelling, atopic dermatitis | regular and tightly-packed | ++ | - | - | - | + | + | |||
pt n.4 | M | 65 | diarrhea, abdominal bloating, asthenia, headache | regular and packed | ++ | - | + | - | + | + | |||
pt n.5 | M | 33 | Abdominal swelling, asthenia | regular and tightly-packed | ++ | - | + | - | - | + | |||
(D) NCGS | 1120.69 ± 60 | 77.59 ± 12 | |||||||||||
pt n.1 | F | 52 | abdominal pain, swelling, diarrhea, asthenia | regular and packed | see graph | + | + | + | + | - | - | ||
pt n.2 | M | 35 | abdominal pain, swelling | regular and packed | + | + | + | - | - | - | |||
pt n.3 | F | 38 | heartburn, nausea, headache, foggy mind | regular and loosely-packed | ++ | + | + | + | - | - | |||
pt n.4 | F | 28 | abdominal pain, swelling, asthenia, alopecia | regular and packed | + | - | + | + | - | - | |||
pt n.5 | F | 22 | abdominal pain, swelling, diarrhea | regular and tightly-packed | ++ | + | - | + | - | - | |||
(E) Ni ACM | 1042.29 ± 42 | 102.30 ± 10 | |||||||||||
pt n.1 | M | 33 | abdominal pain, diarrhea, heartburn | irregular and packed | see graph | ++ | + | + | + | - | + | ||
pt n.2 | F | 21 | abdominal pain, swelling, constipation | regular and packed | + | - | + | - | - | - | |||
pt n.3 | F | 30 | abdominal pain, swelling | irregular and packed | ++ | + | + | + | - | + | |||
pt n.4 | F | 45 | abdominal pain, swelling, constipation | irregular and packed | ++ | + | + | + | - | + | |||
pt n.5 | F | 52 | abdominal pain, swelling, diarrhea, asthenia, anemia | irregular and packed | ++ | + | + | + | - | + | |||
(F) CTRL | 1799.75 ± 49 | 9.6 ± 1 | |||||||||||
pt n.1 | F | 20 | GERD and dyspepsia | regular and tightly-packed | see graph | - | - | - | - | - | - | ||
pt n.2 | F | 30 | GERD and dyspepsia | regular and tightly-packed | - | - | - | - | - | - | |||
pt n.3 | M | 45 | GERD and dyspepsia | regular and tightly-packed | - | - | - | - | - | + | |||
pt n.4 | F | 59 | GERD and dyspepsia | regular and tightly-packed | - | - | - | - | - | - | |||
pt n.5 | M | 43 | GERD and dyspepsia | regular and packed | + | - | - | - | - | - |