A severe drop in antibodies points to a rare syndrome

An elderly man presents with loss of appetite, weight loss, diarrhoea, and looking tired and unwell

Fred, 76, a retired railway worker, has led a very active life. He is a non-smoker and non-drinker who lives with his wife.

iv infusion drip senior man flipped

As a young man he worked as a plumber’s mate and was exposed to blue asbestos.

In recent weeks he has felt unwell, with loss of appetite. He is not feverish and there is no cough or dyspnoea. He has had several episodes of semi-fluid stools without associated bleeding or mucous.

He denies