Tropical sprue (TS) is a syndrome characterized by acute or chronic diarrhea, weight loss, and malabsorption of nutrients. It occurs in residents. Tropical Sprue; Kwashiorkor. Sprue, both tropical and nontropical, has been a subject of great interest to the medical community ever Sp: Esprue tropical. Tropical sprue is a chronic diarrheal disease, possibly of infectious origin, that involves the small intestine and is characterized by.
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Infection with S stercoralis is common in the tropics and may cause chronic diarrhoea and malabsorption in immunocompetent people. How Is Tropical Sprue Diagnosed?
Infect Immun 72 — Gut 30 17— The signs of nutritional deficiency include pallor due to anaemia; angular stomatitis, cheilitis rtopical glossitis due to vitamin B deficiency; and peripheral oedema and skin and hair changes secondary to hypoproteinaemia. Indian J Gastroenterol 15 — Ann Acad Med Singapore 26 — Key references Nath SK. Gastroenterology 62 11— Tropical sprue is an acquired chronic diarrheal disorder of unclear etiology affecting residents of and visitors to tropical regions.
Malabsorption can be treated by an oral dose of a pancreatic enzyme preparation such as Creon with every meal. Two abnormal tests in the appropriate setting are consistent with tropical sprue in tropicwl absence of other causes of malabsorption. It is seen in adults of both sexes much more often than in children, and may affect both tropicaal and military populations. Viral particles resembling human enteric corona viruses have been identified in the stool of patients with tropical sprue.
Rarely, vitamin A deficiency may manifest with night blindness and corneal xerosis, while vitamin B 12 deficiency leads to subacute combined degeneration of the spinal cord. There is no known prevention for tropical sprue other than avoiding tropical locations.
Gastroenterology 68 17— Ailments of unknown cause Gastrointestinal tract disorders Malnutrition Steatorrhea-related diseases.
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It has become a disease of some importance in tropical warfare, as it can affect soldiers suffering from other intestinal disorders who must subsist for long periods on rations deficient in folic acid. For instance, C parvum is the most important diarrhoeal pathogen in Zaire and Uganda, whereas I belli is the most common pathogen causing chronic diarrhoea and malabsorption in south India. There was a mild intraepithelial lymphocytosis and eosinophil infiltrate in tropiczl colonic mucosa of half of the cases.
The histologic changes typically resemble that of gluten-sensitive enteropathy. Quantitative stool fat estimation is the most reliable test of malabsorption in the tropics.
This can cause a number of different symptoms. Gastroenterology 66 — Coeliac disease in developing countries: You may improve quickly and dramatically after your rropical large dose of folic acid. It is associated with a macrocytic anemia and megaloblastic bone marrow, and with histological and radiological changes in the small bowel. Preventive measures for visitors to tropical areas where the condition exists include steps to reduce the esprie of gastroenteritis.
Curr Gastroenterol Rep 3 — In a child, it is appropriate to ask for a history of gluten sensitivity and screen for coeliac sprue.
Gastroenterology — All content is strictly informational and should not be considered medical advice. Microflora of the gastrointestinal tract in tropical enteritis: Curr Gastroenterol Rep ; 3: Epidemics in southern India have occurred.
This torpical the bacteria overgrowth that results in this condition.
Persistent diarrhea in the returning traveler: Fever, uncommon in Caribbean patients, has been noted in almost a quarter of patients from southern India. Gut 44 — Trpoical in Crohn’s disease.
Staging of the disease by laparoscopy or laparotomy should precede chemotherapy or radiation therapy. Intermittent or persistent diarrhoea occurs, while steatorrhoea, anaemia and hypoproteinaemia are common. Diagnosis of tropical sprue, parasitic disorders, IPSID and other specific conditions can be made on the basis of biopsy results.