Differential Diagnosis for Unintentional Weight Loss in a Young Female (Non-Cancer)
Single Most Likely Diagnosis
- Hyperthyroidism: This condition is a common endocrine disorder that can cause unintentional weight loss, especially in young females. It is characterized by an overproduction of thyroid hormones, leading to increased metabolism and weight loss despite increased appetite.
Other Likely Diagnoses
- Anorexia Nervosa: A psychological disorder that can lead to significant weight loss due to restrictive eating habits and fear of gaining weight.
- Gastrointestinal Disorders (e.g., Celiac Disease, Crohn's Disease): Conditions that affect the digestive system can lead to malabsorption of nutrients, resulting in unintentional weight loss.
- Diabetes Mellitus (Type 1): An autoimmune condition that can cause weight loss due to high blood sugar levels and insufficient insulin production.
- Depression: A mental health disorder that can lead to changes in appetite and weight loss.
Do Not Miss Diagnoses
- Addison's Disease: A rare endocrine disorder that can cause weight loss, fatigue, and other symptoms due to adrenal insufficiency. If left untreated, it can be life-threatening.
- Pituitary Adenoma: A tumor in the pituitary gland that can affect hormone production, leading to weight loss and other symptoms.
- Infectious Diseases (e.g., Tuberculosis, HIV): Certain infections can cause weight loss and other systemic symptoms, and it is crucial to diagnose and treat them promptly.
Rare Diagnoses
- Whipple's Disease: A rare bacterial infection that affects the small intestine and can cause weight loss, diarrhea, and other symptoms.
- Mitochondrial Disorders: A group of rare genetic disorders that affect energy production in cells and can cause weight loss, fatigue, and other symptoms.
- Eating Disorders (e.g., Bulimia Nervosa): While not as common as anorexia nervosa, other eating disorders can also lead to unintentional weight loss in young females.