Case 11-1977

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Abstract
Presentation of CaseA 57-year-old woman was admitted to the hospital because of abdominal pain and vomiting.The patient had chronic paranoid schizophrenia of long standing, which was managed on an ambulatory basis with chlorpromazine. Twenty months before admission a grand-mal seizure occurred, and phenytoin sodium was begun. She was then well, without recurrence of seizures. Several months before admission she began to lose weight, associated with a decrease in caliber of her stools with the occasional passage of bright-red blood and constipation alternating with diarrhea. During the week before entry she lost 2 kg in weight. Four days before . . .

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