BOF 37

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BOF: 37

A 26 year old male is admitted with diarrhoea, loss of weight and weakness. The patient is known to have ulcerative colitis – pancolitis – and has been on medication for the last 3 years. For 5 months prior to admission the patient has been having bad diarrhoea and has been self medicating with varying doses of steroids and asacol.

He has also become a vegan as a friend had told him that this would cure his colitis.

On examination the patient looked unwell and was underweight. There was alopecia and dermatitis. Pulse 100 beats per minute BP110/70 abdomen soft no lumps no tenderness.

In this patient deficiency of which one of the following elements would account for the dermatitis and alopecia?

a)   Zinc

b)   Copper

c)    Selenium

d)   Chromium

e)   Magnesium

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