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Case 31 

Case 31
Chapter:
Case 31
Author(s):

Alissa J. Walsh

, Otto C. Buchel

, Jane Collier

, and Simon P.L. Travis

DOI:
10.1093/med/9780199557899.003.31
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date: 19 August 2019

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.

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