Case 18

Alissa J. Walsh, Otto C. Buchel, Jane Collier and Simon P.L. Travis

in Oxford Case Histories in Gastroenterology and Hepatology

Published on behalf of Oxford University Press

Published in print March 2010 | ISBN: 9780199557899
Published online November 2012 | e-ISBN: 9780191753329 | DOI:

Series: Oxford Case Histories

Case 18

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A 22-year-old woman from Northampton, UK was seen in the gastroenterology clinic with a 2-year history of diarrhoea, iron deficiency anaemia, and a raised C-reactive protein (RP). She constantly felt below par. She passed liquid stool without visible blood up to 8 times a day and more recently up to 3 times at night. She had intermittent abdominal pain and had lost weight, but ascribed this to being on a diet, since she otherwise felt well. She had no other medical history and was taking the oral contraceptive pill. She smoked 10 cigarettes per day, but drank no alcohol. Travel history included a trip to Ireland a month previously, without any history of travel to developing countries.

Chapter.  2904 words.  Illustrated.

Subjects: Gastroenterology

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