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The patient and his family, Drs. Owen and Blumer.
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Section editor’s note: In an era of ever-increasing use of diagnostic laboratory and imaging tests, matched with frequent availability of tissue confirmation of the diagnosis, it is refreshing to read about a case that was solved on the basis of some forensic intelligence. This case serves as a subtle and humble reminder of the power of history and physical examination, matched by some “out of the box” thinking. Those of us looking after patients with chronic nausea and abdominal pain can very quickly appreciate the dramatically beneficial impact of the diagnosis that was made in this case by the pediatric gastroenterology team and how many long-term management issues were aborted. George Triadafilopoulos, MD. Editor, Stanford Multidisciplinary Seminars.
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Fuentebella, J., Kerner, J.A. Nickel Toxicity Presenting as Persistent Nausea and Abdominal Pain. Dig Dis Sci 55, 2162–2164 (2010). https://doi.org/10.1007/s10620-010-1271-9
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DOI: https://doi.org/10.1007/s10620-010-1271-9