A 43-year-old man was hospitalized because of a three-day historyof epigastric pain, pain in the right upper quadrant, and constipation.The pain was intermittent and not associated with nausea, vomiting,fever, or eating.
The patient had been born in Israel to parents of Libyan origin.His job as a merchant often took him abroad, especially to Spainand Egypt. He had had type 2 diabetes mellitus for six years,for which he took 5 mg of glyburide per day. Approximately 13months before the present admission, he had been hospitalizedat another facility for several days for right-lower-lobe pneumonia,. . . [Full Text of this Article]
Commentary
Source Information
From the Department of Internal Medicine A (Y.B., I.O.) and the Porphyria Reference Laboratory (N.S.), Rabin Medical Center, Petach Tikva, and the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv both in Israel.
Address reprint requests to Dr. Beigel at the Department of Internal Medicine A, Rabin Medical Center, Beilinson Campus, Petach Tikva 49100, Israel.
References
Related Letters:
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Adler L., Muller D., Lawrence C., Loefler I. J.P., Abramowicz M., Beigel Y.
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N Engl J Med 1999;
340:568-569, Feb 18, 1999.
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