Modern Pathology

TABLE 4

FROM:

Autoimmune Gastritis: Distinct Histological and Immunohistochemical Findings Before Complete Loss of Oxyntic Glands

Michael Torbenson, Susan C Abraham, John Boitnott, John H Yardley and Tsung-Teh Wu

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TABLE 4. Differentiating Autoimmune Gastritis (AG) from H. pylori Gastritis

FeatureAG H. Pylori Gastritis
Nature of inflammatory infiltrateDiffuse or patchy lymphoplasmacytic infiltration of lamina propria, often with deep predominanceOften a bandlike infiltrate that is oriented more superficially and frequently shows activity
Gland destructionFrequentInfrequent
Parietal cell hyperplasia/hypertrophyFrequentInfrequent (unless on proton pump inhibitors)
ECL cell hyperplasia (at least linear)FrequentInfrequent
Predominantly affected part of stomachBodyAntrum and body
Predominant location of metaplasiaBody (intestinal/pyloric)Antrum (intestinal)
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