MARC L. BERGER, M.D.; DANIEL M. SIEGEL, M.D.; EDWARD L. LEE, M.D.
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Whipple's disease is a systemic illness that predominantly affects the gastrointestinal tract resulting in malabsorption, diarrhea, and weight loss. We report the case of a man with Whipple's disease presenting initially with cutaneous and gastrointestinal manifestations of scurvy. To our knowledge, this is the first observed association between Whipple's disease and scurvy. Endoscopic findings in scurvy have not been reported previously.
A 50-year-old white man was hospitalized for evaluation of fatigue and weakness. He had a 3-month history of anorexia, a 42-kg weight loss, intermittent burning epigastric pain, and foul-smelling diarrhea containing no overt blood, pus, or mucus. Several weeks
BERGER ML, SIEGEL DM, LEE EL. Scurvy as an Initial Manifestation of Whipple's Disease. Ann Intern Med. ;101:58–59. doi: 10.7326/0003-4819-101-1-58
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Published: Ann Intern Med. 1984;101(1):58-59.
Celiac Disease and Malabsorption, Gastroenterology/Hepatology, Infectious Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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