A 75-year-old man presented to the emergency department with a 1-year history of 66-pound weight loss and alternating bowel habits. He was admitted to the hospital, where he underwent several examinations to investigate the presence of a malignancy. A colonoscopy, a gastroscopy, an ultrasound of the abdomen, and a contrast-enhanced CT scan of thorax and abdomen did not detect any neoplasia. The only findings consisted of a prostatic hypertrophy and a basal pleural-parenchymal hyperdensity in the left lung, which was described as the result of an infective process. Neoplastic markers CA19.9, carcinoembryonic antigen, neuron-specific enolase, and α-fetoprotein were also negative. Wide-spectrum blood tests were unremarkable, except for hypogammaglobulinemia and elevated β2 microglobulin.
Clinical reasoning: a 75-year-old man with parkinsonism, mood depression, and weight loss / E. Frattini, E. Monfrini, G. Bitetto, B. Ferrari, S. Arcudi, N. Bresolin, M.C. Saetti, A. Di Fonzo. - In: NEUROLOGY. - ISSN 0028-3878. - 90:12(2018 Mar 20), pp. 572-575.
|Titolo:||Clinical reasoning: a 75-year-old man with parkinsonism, mood depression, and weight loss|
FRATTINI, EMANUELE (Primo) (Corresponding)
MONFRINI, EDOARDO (Secondo)
SAETTI, MARIA CRISTINA (Penultimo)
DI FONZO, ALESSIO BARNABA (Ultimo)
|Settore Scientifico Disciplinare:||Settore MED/26 - Neurologia|
|Data di pubblicazione:||20-mar-2018|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1212/WNL.0000000000005177|
|Appare nelle tipologie:||01 - Articolo su periodico|