CASE 134

History: A 58-year-old woman presents with pruritus, rash, dyspepsia, and diarrhea.

1. What should be included in the differential diagnosis of the imaging finding shown in Figure A? (Choose all that apply.)

A. Nontropical sprue

B. Lymphangiectasia

C. Cryptosporidiosis

D. Mastocytosis

E. Giardiasis

2. What is the most common site of involvement with mastocytosis?

A. Skin

B. Liver

C. Esophagus

D. Small bowel

3. Which of the following conditions produces the greatest elevation of serum gastrin levels?

A. Zollinger-Ellison syndrome

B. Pernicious anemia

C. G-cell hyperplasia

D. Mastocytosis

4

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