A 40-Year-Old Man Comes to the Office Due to Several

A 40-year-old man comes to the office due to several months of abdomen discomfort and crampsHe also reports a progressive itching after showers and rash which is increased after scratching. He has feels fatigue all the time and he is frequently dizzy and light-headed after prolonged standing. He has no prior medical conditions and takes no medictions The patient does not use tobacco, alcohol, or illicit drugs.  Vital signs are normal.  Skin examination shows a maculopapular rash.  Skin biopsy shows large clusters of mast cells that are positive for KIT (CD 117) .  Which of the following additional findings are most likely present in this patient?

A) Bacterial colonization of the stomach
B) Gastric atrophy
C) Gastric hypersecretion
D) Gastric hypomotility
E) Pancreatic endocrine tumor
F) Pernicious anemia

Correct Answer:

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