What could have caused this weight loss?

Published: 24 May 2016
Author(s): Rachid Mahmoudi, Patrick Manckoundia, Jean Luc Novella
Issue: May 2016
Section: Internal Medicine Flashcard

An 87-year-old woman was hospitalized for a productive cough, wheezing and weight loss. Her medical history included recurring aspiration pneumonia. She had intermittent dysphagia that appeared 2years earlier, predominantly for solids. She experienced up to 48h of aphagia followed by dysphagia-free intervals of 4 to 5days. There was also significant regurgitation of undigested food, causing coughing, bronchial obstruction and aspiration pneumonia. The patient reported worsening digestive disorders and a weight loss of 7k in the previous 2years.