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Case 18 

Case 18
Chapter:
Case 18
Author(s):

Alissa J. Walsh

, Otto C. Buchel

, Jane Collier

, and Simon P.L. Travis

DOI:
10.1093/med/9780199557899.003.18
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date: 20 November 2017

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.

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