Fig. 1

First gastroduodenoscopy. a Endoscopic view of gastric corpus and proximal antrum showing cerebriform thickened gastric mucosal folds. b Endoscopic view of distal antrum and pylorus was macroscopically unremarkable. c Histopathology of the gastric mucosal biopsy showing multifocal moderately increased number of macrophages (arrow), lymphocytes and plasma cells. Haematoxylin and eosin staining 20X. Insert: Numerous spiral-shaped Helicobacter-like organisms (arrow) are present in gastric mucosa. Warthin-Starry silver staining, bar 5 µm