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An unsuspected cause of chronic diarrhoea
  1. Salvatore Greco,
  2. Giovanni Maconi,
  3. Marco Lazzaroni,
  4. Luca Pastore,
  5. Gabriele Bianchi Porro
  1. Department of Clinical Sciences, Chair of Gastroenterology, L. Sacco University Hospital, Milan, Italy
  1. Correspondence to:
    Dr S Greco
    Department of Gastroenterology, L. Sacco University Hospital, Via G.B.Grassi, 74, 20157 Milan, Italy; salvatore.greco{at}unimi.it

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Clinical presentation

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, …

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