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A 31-year-old woman presented with anasarca developed in the past 2 weeks accompanied by chronic diarrhoea of small bowel, secretory type for 40 days, associated with intermittent, colicky abdominal pain and vomiting for the same duration and intermittent, low-grade fever for the past 1 month, with features of malabsorption and polyarthralgia. Examinations revealed pallor, sinus tachycardia and anasarca with ascites and mild bilateral pleural effusion without any organomegaly or lymphadenopathy.
Baseline investigations (table 1) proved a probable inflammatory disease of small bowel with high stool calprotectin. Colonoscopy and endoscopy did not …
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Contributors DD prepared and edited the manuscript and was directly involved in patient management. KB supervised the entire workup, management, manuscript preparation, revision and editing. AS helped with clinical corroboration, diagnosis and supervised the treatment. All authors are in agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.