Case 31

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 31

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A 60-year-old retired female secretary who had had two renal transplants for adult polycystic kidney disease, presented unwell with 5 weeks of profuse, watery (non-bloody) diarrhoea and 9kg weight loss. She had had her first transplant in 1992, which failed in 1997 because of rejection. The second transplant was in 2000 and this was functioning well. She also had Type 2 diabetes mellitus, gout, and epilepsy (no seizures for 3 years). Daily medications were sodium valproate 400mg, frusemide 250mg, allopurinol 100mg, doxazosin 8mg twice daily, loratidine 10mg, mycophenolate 2g, prednisolone 5mg, atorvastatin 10mg, aspirin 75mg, and colchicine or codydramol, as needed.

Chapter.  1235 words.  Illustrated.

Subjects: Gastroenterology

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