Tropical sprue laboratory findings: Difference between revisions

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Revision as of 15:02, 23 February 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

@@ Line 6: / Line 6: @@
 ==Laboratory Findings==
-Routine tests for TS:
-* Hemoglobin
-* Mean corpuscular volume
-* LDH
-* Folic acid
-* Vitamin B12
-Serological findings:
-* Anti-gliadin antibodies
-* Anti-endomysial antibodies
-* Anti-tissue transgltaminase antibodies
-* Testing for other antibodies.
-Tropical Sprue can be diagnosed using the following tests and exams:
-===Stool Examination===
-* The stools are usually increased in volume and are either watery, or semiformed.
-* The finding of fat globules in stool is very suggestive of the presence of steatorrhea.
-* It is also helpful to exclude some of the parasites causing chronic diarrhea such as Giardia Lamblia, Entamoeba Histolytic.
-===Sigmoidoscopy===
-* Performed in all patients with chronic diarrhea to exclude lesions other than sprue such as amebiasis.
-* In sprue, there is hyperemia of the colonic mucosa without ulcerations.
-===Gastric biopsy===
-* Shows achlorhydria and changes ranging from superficial gastritis through chronic gastritis to complete gastric atrophy.
-===Absorption studies===
-* Steatorrhea may be essential for the diagnosis of TS.
-*[[Bone density]] test
-* CHEM 20
-*[[Complete blood count]] (CBC)
-*[[Comprehensive metabolic panel]]
-*[[Enteroscopy]]
-*[[Folate]] level (serum)
-*[[Iron]] level (serum)
-*[[Stool]] examination for [[bacteria]] and [[parasites]]
-*Upper [[endoscopy]]
-*[[Upper GI series]]
-*[[Vitamin B12]] level (serum)
-*[[Vitamin D]] level
 ==References==