Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Gastroenterology


Answer 1
  1. Celiac sprue. The patient most likely has celiac sprue (also called gluten-sensitive enteropathy). If untreated, all of the listed diagnoses may be accompanied by findings of chronic diarrhea without clear trigger foods for several years and a chronically wasted appearance with diffuse muscle loss. However, the case patient has a vesicular rash on his extensor surfaces that is intensely pruritic (ie, dermatitis herpetiformis), which is a classic finding in patients with celiac sprue, and is not seen in the context of the other illnesses listed.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj