EDITOR'S QUIZ: GI SNAPSHOT

When does severe diarrhoea disclose a hereditary disease?

J Boujaoude¹, K Honein¹, E Hobeika¹, C Ghorra², P Ghorra³, E Hobeika⁴

¹ Department of Gastroenterology, Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon
² Department of Pathology, Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon
³ Department of Laboratory, Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon
⁴ Department of Gastroenterology, Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon

Correspondence to:
Correspondence to:
Professor Joseph Boujaoude
Department of Gastroenterology, Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon; jbouj@hotmail.com

The first 150 words of the full text of this article appear below.

A 30-year-old man of Mediterranean origin was admitted for intractable diarrhoea and severe malabsorption. He presented with a 2 month history of frequent watery stools and acute weight loss of 10 kg. He is of Mediterranean origin. His medical history included episodic diffuse abdominal pain of sudden onset, severe intensity and short duration without diarrhoea. He did not take any drugs. His clinical evaluation showed fatigue, muscle weakness and paraesthesias. The arterial blood pressure was 90/70 mm Hg and the heart rate was 120 beats/min. He had microcytic iron deficiency anaemia. His haemoglobin concentration was 8 g/dl, mean corpuscular volume 65 fl, serum iron 10 µmol/l and serum ferritin 15 µg/l. He had increased C reactive protein of 250 mg/l. Blood tests showed decreased levels of albumin, calcium and magnesium, but normal prothrombin time. The stool cultures were sterile. Electrocardiogram, plain abdominal film and chest x ray examination were normal. . . . [Full text of this article]

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EDITOR’S QUIZ:
Gut 2007 56: 357. [Extract] [Full Text] [PDF]