Differential Diagnosis for Unexplained Weight Loss
Single Most Likely Diagnosis
- Depression: Unexplained weight loss is a common symptom of depression, which can lead to changes in appetite and eating habits, resulting in weight loss.
Other Likely Diagnoses
- Diabetes Mellitus: Uncontrolled diabetes can cause weight loss due to the body's inability to use glucose for energy, leading to the breakdown of fat and muscle for fuel.
- Hyperthyroidism: An overactive thyroid gland can increase metabolism, leading to weight loss despite increased appetite.
- Chronic Infections (e.g., tuberculosis, HIV): Chronic infections can cause weight loss due to increased metabolic rate, decreased appetite, and malabsorption.
- Gastrointestinal Disorders (e.g., celiac disease, Crohn's disease): Malabsorption and chronic inflammation can lead to weight loss.
Do Not Miss Diagnoses
- Cancer: Various types of cancer (e.g., pancreatic, lung, stomach) can cause unexplained weight loss due to tumor effects, metabolic changes, and decreased appetite.
- HIV/AIDS: Weight loss is a common symptom of HIV/AIDS, particularly in the later stages of the disease.
- Addison's Disease: Adrenal insufficiency can cause weight loss, fatigue, and other symptoms.
Rare Diagnoses
- Pheochromocytoma: A rare tumor of the adrenal gland that can cause weight loss, hypertension, and other symptoms.
- Whipple's Disease: A rare bacterial infection that can cause weight loss, diarrhea, and other gastrointestinal symptoms.
- Amyloidosis: A rare condition characterized by the deposition of abnormal proteins in various organs, leading to weight loss and other symptoms.