Case 34432

Presentation of Case First admission. A thirteen-year-old schoolboy entered the hospital complaining of frequent bowel movements.For about one year prior to admission he had experienced rather constant diarrhea, with up to seven evacuations daily, unassociated with pain or bleeding.Physical examination was essentially negative.The blood pressure was 110 systolic, 70 diastolic.Examination of the blood disclosed a red-cell count of 3,630,000, with 40 per cent hemoglobin, and a white-cell count of 10,300, with 50 per cent neutrophils, 46 per cent lymphocytes, 2 per cent monocytes, 1 per cent eosinophils and 1 per cent basophils. The specific gravity . . .