98.3k views
0 votes
Patient with mild DM/hyperglycemia, necrotic migratory erythema, diarrhea, anemia, and weight loss:

a) Whipple's disease
b) Celiac disease
c) Lymphoma
d) Crohn's disease

1 Answer

5 votes

Final answer:

The patient's symptoms are consistent with celiac disease, a condition that results from an immune response to gluten. The associated damage to the small intestine's microvilli impairs nutrient absorption, causing the described symptoms. A gluten-free diet is the main treatment.

Step-by-step explanation:

The patient in the question is presenting with mild DM/hyperglycemia, necrotic migratory erythema, diarrhea, anemia, and weight loss. These symptoms might suggest a diagnosis of celiac disease, which is a disease largely affecting the small intestine but can have systemic manifestations. In celiac disease, the body mounts an immune response against gluten, found in wheat, barley, and rye, which leads to damage of the microvilli in the small intestine. This damage impairs the absorption of nutrients and can result in symptoms such as malnutrition, cramping, diarrhea, anemia, and weight loss. A strict gluten-free diet is the primary treatment for celiac disease, which can help heal the intestinal damage and alleviate symptoms.

User Shalev Shalit
by
8.2k points