A 24 Year Old Nursing Student Was Having Difficulty Keeping

Multiple Choice

A 24 year old nursing student was having difficulty keeping up in class because of extreme fatigue.She sought help from the Students' Health Service.A full blood count (FBC) showed anaemia with increased RBC (red blood cell) size (macrocytic anaemia) .An upper GI endoscopy was performed,and biopsies taken.A representative section of the biopsy is shown in the accompanying photomicrograph,with normal small bowel shown on the left for comparison (villi are identified as "V") .Which one of the following is the best diagnosis?

A) Adenocarcinoma
B) Coeliac disease
C) Crohn's disease
D) Iron deficiency anemia
E) Ulcerative colitis