A 51-year-old wom an com plained to her physician of fatigue and shortness of breath. The wom an, w ho was vegetarian, realized she had recently developed an unexplained desire to eat ice and also noted that her stools had becom e dark. She had been receiving piroxicam for 6 m onths to treat her rheum atoid arthritis. Physical exam ination was unrem arkable. Which of the follow ing disorders m ost likely caused the patients sym ptom s? A. Iron de ciency anem ia B. Respiratory alkalosis C. Reye syndrom e D. Analgesic nephropathy E. Aspirin hypersensitivity
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