A 32-Year-Old Woman Comes to the Office Due to Postprandial

A 32-year-old woman comes to the office due to postprandial abdominal pain and nausea.  The patient has no diarrhea, constipation, bloody stools, or vomiting.  Medical history is significant for rheumatoid arthritis.  The abdomen is mildly tender to palpation at the epigastrium but without distension or hepatosplenomegaly.  Laboratory studies reveal anemia.  A small gastric ulcer is seen during upper endoscopy, and biopsies are negative for Helicobacter pylori.  Biopsies of the duodenum reveal numerous intraepithelial lymphocytes, villous atrophy, and crypt hyperplasia.  Based on these biopsy findings, this patient is at increased risk for developing which of the following conditions later in life?

A) Angiodysplasia of the small bowel
B) Colon adenocarcinoma
C) Portal vein thrombosis
D) Pyloric stenosis
E) T-cell lymphoma

Correct Answer:

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