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Self-Assessment Questions


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.

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