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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 341:1530-1537 November 11, 1999 Number 20
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Case 34-1999— A 37-Year-Old Woman with Liver Disease and Recurrent Diarrhea
John R. Saltzman, and Carolyn C. Compton

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Presentation of Case

A 37-year-old woman was referred to the gastrointestinal unit because of abnormal results of liver-function tests.

Eleven months before referral and one month after an uneventful pregnancy during which she took no medications, the patient underwent an examination to qualify for life insurance. The results of several laboratory tests were abnormal (Table 1 and Table 2). A urinalysis and a test for antibodies to the human immunodeficiency virus (HIV) were negative. At about the same time, abdominal cramps and diarrhea developed. Stool tests for ova and parasites and for occult blood were negative. A test for Clostridium difficile . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. John R. Saltzman's Diagnosis

Pathological Discussion

Anatomical Diagnoses

References



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