Unintentional 4 Kg Weight in Medicine / Internal Medicine — 26yo Woman | Gastroenterology | SMLE Q#629
SMLE Question #629
Medicine / Internal Medicine
Gastroenterology
Last updated: February 2026
A 26-year-old woman has 6 months of intermittent abdominal bloating and non-bloody diarrhea with unintentional 4 kg weight loss. Examination shows mild pallor and glossitis. Initial blood tests show iron-deficiency anaemia. Serology shows elevated IgA anti–tissue transglutaminase antibody. What is the most likely diagnosis?
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