Mysterious Gut Bumps

An 18-year-old woman presents with diarrhea and epigastric pain. After a Giardia diagnosis, Endoscopy reveals unusual nodules. What’s the underlying cause?

Nodular lymphoid hyperplasia


An 18-year-old woman with recurrent epigastric discomfort and diarrhea is diagnosed with Giardia lamblia infection, and subsequently undergoes gastroduodenoscopy with the findings in this image. What is the diagnosis?

What is the most likely diagnosis?

Glycogenic acanthosis
Basal-cell hyperplasia
Celiac disease
Nodular lymphoid hyperplasia
Familial adenomatous polyposis

CVID, Gastroduodenoscopy, Giardia, Immunodeficiency, Nodular lymphoid hyperplasia

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