EDITOR'S QUIZ: GI SNAPSHOT
An unsuspected cause of chronic diarrhoea
Department of Clinical Sciences, Chair of Gastroenterology, L. Sacco University Hospital, Milan, Italy
Correspondence to:
Correspondence to:
Dr S Greco
Department of Gastroenterology, L. Sacco University Hospital, Via G.B.Grassi, 74, 20157 Milan, Italy; salvatore.greco@unimi.it
| The first 150 words of the full text of this article appear below. |
A 45-year-old Italian man, living in Italy, was admitted to our clinic with a 6-month history of chronic diarrhoea (soft stool, 3–4 times/day), iron-deficiency anaemia, recurrent abdominal pain, weight loss (10 kg over 6 months) and weakness. Examination was normal apart from moderate pallor and a soft but diffusely tender abdomen. He was not febrile: there was no pathological sign apart from increased bowel sounds. Other investigations showed haemoglobin 10.8 g/dl, mean corpuscular volume 72 fl, full blood count normal with relative hypereosinophilia (8.5%), platelets 230x109/l, erythrocyte sedimentation rate 60 mm/h, C reactive protein <1.0 mg/l, normal renal and hepatic biochemistry, albumin (30 g/l), serum iron 10 µg/l, total iron-binding capacity 330 µg/dl (normal: 240–480 µg/dl) and ferritin 7 ng/ml (20–200 ng/ml).
Parasitological stool examination was non-diagnostic, with normal stool pH. Coproparasitological study was negative; stool specimens for faecal leucocytes, bacterial culture, ova and parasites were all
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EDITOR’S QUIZ: GI SNAPSHOT
Gut 2007 56: 668.[Extract] [Full Text] [PDF]
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