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Clinicopathological Conference
DOI: 10.1016/j.rceng.2020.12.005
Available online 4 June 2021
70-year-old woman with chronic diarrhea
Mujer de 70 años con diarrea crónica
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R. Estévez-Gonzáleza,
Corresponding author
raqueleg8@gmail.com

Corresponding author.
, Á. Romo Navarrob, Á. Sánchez Castañoa, M.P. López Castañeyraa
a Servicio de Medicina Interna, Hospital Virgen de la Salud, Toledo, Spain
b Servicio de Anatomía Patológica, Hospital Virgen de la Salud, Toledo, Spain
Received 12 November 2020. Accepted 21 December 2020
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Table 1. Complete blood count values during hospitalization and follow-up.
Table 2. Blood biochemistry values during hospitalization and follow-up.
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Abstract

We present the clinical case of a seventy-year-old female patient with hypertension in treatment with olmesartan since one year ago and no other past medical history of interest. She was hospitalized in the internal medicine department in order to study constitutional symptoms which consisted of confirmed weight loss of 13 kg, chronic diarrhea, loss of appetite, asthenia, and intermittent colic-like abdominal pain. After an initial screening for neoplastic disease, other possible options were considered.

Keywords:
Olmesartan
Adverse effect
Sprue
Chronic diarrhea
Constitutional syndrome
Resumen

Presentamos el caso de una paciente mujer de 70 años hipertensa en tratamiento con olmesartán desde hace un año, sin otros antecedentes personales de interés. Ingreso a cargo del servicio de Medicina Interna por cuadro constitucional a estudio consistente en la pérdida confirmada de peso de 13 kg, diarrea crónica, pérdida de apetito, astenia y dolor abdominal tipo cólico intermitente. Tras un primer despistaje en busca de proceso neoplásico, se pensó en otras posibles opciones.

Palabras clave:
Olmesartán
Efecto adverso
Esprúe
Diarrea crónica
Síndrome constitucional

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