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A 74-year-old woman was admitted to the hospital because of diarrhea with recurrent dehydration and severe weight loss.
There was a history of an "irritable colon" for many years, manifested by intermittent diarrhea that usually lasted one or two days and resolved spontaneously. Evaluation elsewhere was reported to show lactose intolerance; a hiatus hernia with reflux esophagitis and peptic ulcer disease were shown on fiberoptic esophagogastroduodenoscopic examination seven months and four months before admission, with symptomatic improvement after the administration of omeprazole; an upper gastrointestinal series was said to reveal antral and pyloric scarring with gastric dilatation. Vitamin B12 deficiency
Differential Diagnosis
Clinical Diagnoses
Dr. Ciaran P. Kelly's Diagnoses
Pathological Discussion
Anatomical Diagnosis
Addendum
References
Related Letters:
Case 30-1994: Antiendomysial Antibodies and Celiac Disease
Patchett S.E., Alstead E.M., Kumar P.J., Kelly C. P., Kelsey P. B., Graeme-Cook F.
Extract |
Full Text
N Engl J Med 1994;
331:1776, Dec 29, 1994.
Correspondence
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