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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 342:192-199 January 20, 2000 Number 3
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Case 2-2000— A 74-Year-Old-Man with Painless Jaundice 10 Years after Renal Transplantation
Daniel S. Pratt, and Fiona M. Graeme-Cook

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Presentation of Case

A 74-year-old man was admitted to the hospital because of recent, progressive jaundice.

The patient had a long history of hypertension and type 2 diabetes mellitus, both of which were adequately controlled, and of peripheral atherosclerosis. A renal transplantation had been performed 10 years before the current admission because of end-stage diabetic nephropathy, and the patient continued to receive cyclosporine and azathioprine as maintenance therapy. In recent years, he had become confused, with failing memory.

The patient resided in a nursing home. Four weeks before admission, progressive jaundice developed, with dark urine and light stools but without pain. Three days . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Daniel S. Pratt's Diagnoses

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References




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