02-06-2011, 05:36 PM
A 49-year-old female is referred to the gastroenterology out-patient clinic with a 3 month history of epigastric pain and diarrhoea. Her physician initially prescribed lansoprazole 30mg od but this didn't alleviate her symptoms. The only past medical history of note is hyperparathyroidism.
Endoscopy revealed multiple duodenal ulcerations. What is the likely diagnosis?
A. Multiple endocrine neoplasia type II a
B. Coeliac disease
C. Multiple endocrine neoplasia type I
D. Autoimmune polyendocrinopathy syndrome
E. Crohn's disease
Endoscopy revealed multiple duodenal ulcerations. What is the likely diagnosis?
A. Multiple endocrine neoplasia type II a
B. Coeliac disease
C. Multiple endocrine neoplasia type I
D. Autoimmune polyendocrinopathy syndrome
E. Crohn's disease