17. Choice D is the correct answer. The hallmark of Celiac disease on biopsy is crypt hyperplasia, villous atrophy, and mucosal inflammation. Ulcerative colitis affects from the rectum proximally and does not have those findings on biopsy. Pseudomembranous colitis affects the large intestine. Crohn's disease has transmural inflammation and can affect anywhere from the mouth to the anus. Typical presenting symptoms are with a gluten diet are: abdominal pain, diarrhea, malabsorption, bloating, anemia, Vitamin B12 deficiency, Folate Deficiency, short stature, delayed puberty, infertility, aphthous stomatitis and recurrent headaches.
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