A 16-year-old girl is evaluated for chronic fatigue, bloating, intermittent diarrhea, and poor weight gain. Laboratory studies show iron deficiency anemia. She has a pruritic vesicular rash on the extensor surfaces of her elbows. Duodenal biopsy shows villous atrophy, crypt hyperplasia, and intraepithelial lymphocytosis. Which of the following is the most likely diagnosis?

1. A)Tropical sprue
2. B)Lactose intolerance
3. C)Crohn disease
4. D)Whipple disease
5. E)Celiac diseaseGABARITO