Primary intestinal lymphangiectasia with generalized warts

Figure 1 Photographs of the trunk (A) and both hands (B) of the patient, demonstrating generalized cutaneous viral warts distributed on variable regions.

Figure 2 Abdominopelvic computerized tomography showing diffuse mucosal thickening and enhancement throughout the small bowel.

Figure 3 Colonoscopic finding. Image shows white mucosal plaques and spots in the terminal ileum.

Figure 4 Capsule endoscopic finding. The image shows diffuse multifocal white mucosal plaques from the proximal jejunum to the terminal ileum, which is compatible with intestinal lymphangiectasia.

Figure 5 Histological examination of the terminal biopsy specimens. A: Hematoxylin and eosin stain (magnification × 100) showing dilated lymphatic vessels with many foamy macrophages in the lamina propria consistent with lymphangiectasia; B: CD34 stain showing normal vascular endothelial cells; C: D2-40 stained endothelial cells (red arrows), indicating dilated lymphatics; D: CD68-stained macrophages, which have aggregated to uptake lipids leaking from dilated lymphatics.