Differential diagnosis of the biopsy showing villous blunting

What is the differential diagnosis of the biopsy showing villous blunting?

  • • Allergy to other proteins (e.g., cow’s milk in the pediatric population)
  • • Dermatitis herpetiformis
  • • Nonsteroidal antiinflammatory drugs (NSAIDs)
  • • Peptic duodenitis
  • • Giardiasis
  • • Tropical sprue
  • • Crohn’s disease
  • • Severe malnutrition
  • • Bacterial overgrowth
  • • Common variable immunodeficiency
  • • Autoimmune enteropathy
  • • Graft-versus-host disease (GVHD)
  • • Zollinger-Ellison syndrome
  • • Chemotherapy effect
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