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حالات سريرية


non bloody diarrhea |

حالة سريرية

الوصف الكامل Background
A 45-year-old white male comes to your office for evaluation of diarrhea of 8-months duration. He says that he has lost almost 15 lbs during the past 8 months. He denies any blood in the stools. 24-hour stool collection reveals fecal fat of 10 gm/day. Stool microscopy reveals no pathogens and no leucocytes. D-xylose test was performed which shows that less than 2 grams of D-xylose is excreted in urine in 5 hours. D-xylose test was re-performed after treatment with antibiotics but excretion is still less than 2 grams in 5 hours. Based on these findings, what is the most likely diagnosis in this patient?

A. Lactose intolerance
B. Bacterial overgrowth
C. Pancreatic insufficiency
D. Whipple’s disease
E. Terminal ileal disease

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