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The immune reaction causes the small intestine to become swollen and inflamed.  Inside the small intestine are small, hair-like projections called villi.  These villi become blunted, reducing the ability of the body to absorb nutrients (See Images of Normal Villi at Childrens Virtual Hospital, Low Power Microscope Image of Flattened villi from the University of Utah, and a High Power Microscope Image from University of Utah).  

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