Friend w teenage son w low grade fever, nausea, not eating, lost 30lbs in 90 days, complextion ashen white pale, lost normal color.

Needs to be seen: Anyone with a 30 lb wt loss in 90 days needs to be seen, examined, and labs done There your friend to call DR and make apt.

Mgt/workup: He should be seen and evaluated to determine the underlying cause. From your description, screening labs should include a complete metabolic panel and CBC, diff, plts and ESR. His parents should also request a complete neurologic exam, an exam for swollen nodes and a specialist if the cause can not be determined.

Needs to see doctor: asap for a workup as there could be many causes.