Tropical sprue history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]
Overview
Patients with tropical sprue present with diarrhea, bloating, flatulence, fever and myalgias in the acute phase. Patients in the chronic phase present with features of malabsorption.
History
Obtaining history gives important information in making a diagnosis of tropical sprue. It provides an insight into the cause, precipitating factors, and associated comorbid conditions. A complete history will help determine the correct therapy and helps in determining the prognosis. The areas of focus should be on onset, duration, and progression of symptoms such as:
Symptoms
Common symptoms in patients with acute phase of tropical sprue present with the following symptoms: [1]
Common symptoms in patients with chronic phase of tropical sprue present with the following symptoms:[3]
- Weight loss
- Malnutrition
- Anemia
- Fatigue
- Neuropathy
- Bone pain due to calcium and vitamin D malabsorption
- Weakness in combing hair and getting up from the chair are suggestive of proximal muscle weakness
References
- ↑ Walker MM (2003). "What is tropical sprue?". J Gastroenterol Hepatol. 18 (8): 887–90. PMID 12859716.
- ↑ Thakur B, Mishra P, Desai N, Thakur S, Alexander J, Sawant P (2006). "Profile of chronic small-bowel diarrhea in adults in Western India: a hospital-based study". Trop Gastroenterol. 27 (2): 84–6. PMID 17089618.
- ↑ Brown IS, Bettington A, Bettington M, Rosty C (2014). "Tropical sprue: revisiting an underrecognized disease". Am J Surg Pathol. 38 (5): 666–72. doi:10.1097/PAS.0000000000000153. PMID 24441659.