附件：1

 附件：2

1，2，3，4为HE染色

5，6，7，8，PAS染色

whipple diease

图5下面一块组织能否放大来看看。主要看看右侧的那些腺体。

 最后诊断：Whipple's disease

 Whipple's disease is a rare systemic infection due to Tropheryma whippelii, a gram positive intracellular actinomycete (World J Gastroenterol 2009;15:2078), first described in 1907 by Dr. George Hoyt Whipple. Dr. Whipple won the Nobel Prize (jointly) in 1934 for another discovery, that liver given as food to dogs reversed the anemia, leading to treatment of pernicious anemia. He was friends of Dr. Allen Whipple, a surgeon who described the Whipple procedure and the Whipple's triad of insulinoma.