A 38-Year-Old Woman Comes to the Office Due to Intermittent

A 38-year-old woman comes to the office due to intermittent abdominal pain and bloating since childhood.  The patient does not drink milk because she does not like the taste and adds, "I eat ice cream, cheese, and yogurt, but they upset my stomach sometimes."  There is no associated weight loss, abnormal bleeding, or joint pain.  Past medical history is otherwise unremarkable, though the patient has not seen a physician for many years.  Vital signs and physical examination are normal.  Laboratory studies show normal hemoglobin, iron, and vitamin D levels.  A biopsy sample of this patient's small bowel mucosa would most likely show which of the following?

A) Atrophy of the intestinal villi
B) Collections of neutrophils within crypt lumina
C) Distended macrophages in lamina propria
D) Infiltration of lamina propria with atypical lymphocytes
E) Inflammation with scattered noncaseating granulomas
F) Normal intestinal mucosa

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