Approach to chronic abdominal pain (pediatrics) Quiz: Ace Your Exams
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A 6-year-old boy is brought to a clinic with abdominal pain and diarrhea for 6 months. He has had 3-5 non-bloody, loose stools per day with bloating. His symptoms are worse after eating wheat and barley products. He has also developed an associated skin rash. He does not have hematochezia, melena, weight loss, or a family history of gastrointestinal disease. Temperature is 37°C (98.6°F), pulse is 90/min, respirations are 19/min, blood pressure is 110/69 mm Hg, and oxygen saturation is 98% on room air. On physical exam, the abdomen is mildly distended with no tenderness or rigidity. Biopsy via esophagogastroduodenoscopy (EGD) demonstrates villous atrophy and crypt hyperplasia. Which of the following best describes the type of rash that would be expected in this patient?
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