Malabsorption syndrome (MAS) of unknown/infectious etiology occurring primarily in patients in the tropics and subtropics: diagnosis likely if (1):
Typical clinical presentation
Defi...
Fatigue
Asthenia
Weight loss
Diarrhea (usually chronic)
Abdominal cramps
Borborygmi
Night blindness (vitamin A deficiency)
Anorexia
Steatorrhea
Paresthesias
Ecchymoses (vitamin K deficiency)
Correct nutritional deficiencies (e.g., vitamin B12, folic acid).
Control diarrhea.
Replace fluids, electrolytes; transfuse as necessary.
Relapsing symptoms and malnutrition pos...
Lo A, Guelrud M, Essenfeld H, et al. Classification of villous atrophy with enhanced magnification endoscopy in patients with celiac disease and tropical sprue. Gastrointest Endosc....
Celiac Disease; Diarrhea, Chronic
Algorithm: Diarrhea, Chronic
Tropical sprue is endemic in certain areas.
Unless treated, symptoms persist or recur.
Gluten-free diet does not alter symptoms of tropical sprue.
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