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Weight Loss                                                                                                                     See   OBESITY                                                        

Rational Approach to Patients With Unintentional Weight Loss (Mayo Clinic Proceedings  Sep. 2001)
Ernest P. Bouras, Stephen M. Lange, and James S. Scolapio

Weight Loss  Diff-Diagnosis:

1.  Inadequate Food Intake

• Poor dietary habit
• Anorexia nervosa
• Depression
• Famine & poverty
• Dementia

2.  Neurological

• a.Hypothalamic Disease
• b.Diffuse brain Disease (infections, malignancy)

3.  Malabsorption Syndrome

• a.Constrictive lesions
• b.Enzyme deficiency
• c.Inflammatory Diseases
• d.Irritable bowel syndrome

4.  Chronic Infection

• a.HIV Infection - generally severe ("AIDS Wasting")
• b.Tuberculosis
• c.Fungal infections
• d.Parastitic Infections

5.  Malignancy associated cachexia

6.  Adrenal (cortical) Insufficiency (Addison's Disease)

7.  Hyperthyroidism (thyrotoxicosis) - increased appetite

8.  Diabetes mellitus with proteinuria - increased appetite

9.  Lipodystrophies

References

1.Garg A. 2000. Am J Med. 108(2):143

2.Kotler DP. 2000. Ann Intern Med. 133(8):622

American Society for Bariatric Surgery (ASBS)

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