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A 79-year-old woman was admitted to the hospital because of anorexia, weight loss, dehydration, and diarrhea.
The patient had been well until six months earlier, when anorexia developed. Six weeks before admission, diarrhea began. Five weeks before entry, the anorexia worsened, and the patient began to subsist on liquids and small amounts of solid foods. One week before admission she stopped eating solids. She became increasingly weak. On examining her, her physician found only emaciation. Laboratory tests were performed. The creatinine, glucose, calcium, phosphorus, and alkaline phosphatase concentrations were normal. The results of other laboratory tests are given in Table
Differential Diagnosis
Clinical Diagnosis
Dr. Alan Epstein's Diagnosis
Pathological Discussion
Anatomical Diagnoses
References
Related Letters:
Celiac Disease and T-Cell Lymphoma
Egan L. J., Stevens F. M., McCarthy C. F.
Extract |
Full Text
N Engl J Med 1996;
335:1611-1612, Nov 21, 1996.
Correspondence
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