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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 331:1576-1583 December 8, 1994 Number 23
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Case 43-1994— A 52-Year-Old Woman with Weakness, Diarrhea, and Diffuse Lymphadenopathy
Philip C. Amrein, and David J. Weissman

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Presentation of Case

A 52-year-old woman was admitted to the hospital because of weakness, diarrhea, and lymphadenopathy.

The patient had been well until two months earlier, when fatigue developed. Several weeks later diarrhea developed, with the passage of as many as five watery, nonmucoid stools daily that sometimes contained small amounts of fresh blood; she also had diffuse, colicky abdominal pain, occasional night sweats, and increasing anorexia. Twenty-three days before admission a physician found that she was afebrile, with a normal physical examination. A stool specimen was + positive for occult blood. The hematologic and blood chemical values at that time and during . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Philip C. Amrein's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References



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