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A 36-year-old man of Eastern European origin presented with a 4-week history of odynophagia, dysphagia, 10 kg weight loss and night sweats. There was no significant past medical history, he was on no regular medications but the travel history was notable with several years spent working in Africa. Clinical examination revealed loss of subcutaneous fat, muscle wasting, extensive lymphadenopathy and oral candidiasis. Initial blood tests revealed Hb 9.0 g/dL (13.0–16.7), white cell count 6.2×109/L (3.5–11), erythrocyte sedimentation rate 44 mm/h, C reactive protein 113 mg/L (<5) and albumin 25 g/L (35–50). HIV infection was suspected and confirmed by both serology …
Contributors PKF drafted the report and provided the endoscopic images. SEC described the histological findings and provided the histological images. AA and CSJP reviewed and amended the article.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
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