Differential Diagnosis for Unexplained Weight Loss in a 17-Year-Old Girl
Single Most Likely Diagnosis
- Anorexia Nervosa: This is a common condition in adolescent girls, characterized by a distorted body image and excessive dieting that leads to significant weight loss. The psychological aspect of the condition, combined with the physical symptoms of weight loss, makes it a prominent consideration.
Other Likely Diagnoses
- Thyroid Disorders (Hyperthyroidism): An overactive thyroid gland can lead to increased metabolism, resulting in weight loss despite increased appetite. This condition is relatively common and can be diagnosed with blood tests.
- Diabetes Mellitus (Type 1): Although more commonly associated with symptoms like polyuria and polydipsia, unexplained weight loss is a key feature, especially in the absence of other obvious symptoms.
- Depression: Can lead to changes in appetite and weight loss. Given the age group, it's essential to consider mental health conditions.
- Gastrointestinal Issues (e.g., Crohn's Disease, Ulcerative Colitis): Chronic inflammation and malabsorption can result in weight loss. These conditions often present with other symptoms like diarrhea, abdominal pain, and fatigue.
Do Not Miss Diagnoses
- Cancer (e.g., Leukemia, Lymphoma): Although rare, cancers can present with unexplained weight loss. Early detection is crucial for treatment outcomes.
- Tuberculosis: Can cause weight loss, fever, and night sweats. It's less common in some regions but critical to diagnose due to its infectious nature and the availability of treatment.
- HIV/AIDS: Weight loss is a common symptom, especially in the later stages. Given the potential for long-term health consequences, diagnosing HIV early is vital.
- Pituitary or Adrenal Gland Disorders: Conditions like Addison's disease or a pituitary tumor can lead to weight loss among other symptoms.
Rare Diagnoses
- Celiac Disease: An autoimmune reaction to gluten, leading to malabsorption and potential weight loss. It's less likely to present solely with weight loss but is worth considering, especially with gastrointestinal symptoms.
- Mitochondrial Disorders: Rare genetic conditions affecting the mitochondria, which can lead to a variety of symptoms including weight loss, muscle weakness, and neurological issues.
- Chronic Infections (e.g., Parasitic Infections): Certain infections, though rare in many parts of the world, can cause weight loss among other symptoms.
- Genetic Disorders: Such as Prader-Willi syndrome, which can lead to significant weight gain initially but may present with failure to thrive or weight loss in infancy, with potential for weight fluctuations later in life.