Tropical sprue differential diagnosis: Difference between revisions
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! colspan="2" |Irritable bowel syndrome | ! colspan="2" |Irritable bowel syndrome.<ref name="GhoshalRanjan2011">{{cite journal|last1=Ghoshal|first1=Uday C|last2=Ranjan|first2=Prabhat|title=Post-infectious irritable bowel syndrome: The past, the present and the future|journal=Journal of Gastroenterology and Hepatology|volume=26|year=2011|pages=94–101|issn=08159319|doi=10.1111/j.1440-1746.2011.06643.x}}</ref> | ||
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* Traveler's [[diarrhea]] | * Traveler's [[diarrhea]] | ||
* [[Whipworm]] | * [[Whipworm]] | ||
==References== | ==References== | ||
Revision as of 14:34, 22 February 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Tropical sprue must be differentiated from celiac disease, chronic diarrhea, Clonorchiasis, traveler's diarrhea, and whipworm.
Differentiating Tropical sprue from other Diseases
| Causes | Pathophysiology and Histology | Acute diarrhea | Traveller's diarrhea | Chronic diarrhea | Malabsorption | Steatorrhoea | Diagnosis | Confirmatory tests | Associations | |
|---|---|---|---|---|---|---|---|---|---|---|
| Tropical sprue | ||||||||||
| Tropical Enteropathy | Increased mucosal permeability, shorter villi, elongated crypts and increased lymphocytes in the lamina propria | Subclinical | ||||||||
| Infectious | Protozoal |
|
||||||||
| Helminths | ||||||||||
| Bacterial | ||||||||||
| Viral | ||||||||||
| Inflammatory and Immune mediated | Crohn's disease | Decreased small intestinal absorptive surface area | ||||||||
| Ulcerative colitis | ||||||||||
| Coeliac sprue | Complete villous atrophy of the jejunal mucosa | Antiendomysial and tissue transglutaminase antibodies | Clinical and histological response to gluten withdrawal. | |||||||
| Malignant | Intestinal Lymphoma | |||||||||
| Pancreatic disease | ||||||||||
| Irritable bowel syndrome.[1] | ||||||||||
Chronic diarrhea
- Tropical sprue
- Ulcerative Colitis,
- Crohn's disease
- Diarrhea, chronic responsive to antiparasitic drugs
- Diarrhea, chronic unknown
- Inflammatory bowel disease, new onset post-travel (Crohn or ulcerative colitis)
- Irritable bowel syndrome
- Irritable bowel syndrome, post infectious
- Lactose intolerance, post infectious
- Malabsorption
Acute diarrhea
- E. coli
- Clostridium difficile-associated disease
- Campylobacter
- Cholera (toxigenic Vibrio cholerae)
- Cryptosporidium
- Cyclospora
- Diarrhea, acute bacterial
- Diarrhea, acute parasitic
- Diarrhea, acute unspecified
- Diarrhea, acute viral
- Dysentery, acute unspecified
- Entamoeba histolytica, ameba
- E. histolytica, diarrhea
- E. histolytica, dysentery
- Food poisoning
- Gastroenteritis
- Giardia
- Isospora
- Noncholera Vibrio
- Salmonella, other
- Shiga toxin-producing Escherichia coli
- Shigella, S. boydii
- Shigella, S. dysenteriae
- Shigella, S. flexneri
The following diseases have a similar presentation to tropical sprue.
- Celiac Disease
- Chronic diarrhea
- Clonorchiasis
- Traveler's diarrhea
- Whipworm
References
- ↑ Ghoshal, Uday C; Ranjan, Prabhat (2011). "Post-infectious irritable bowel syndrome: The past, the present and the future". Journal of Gastroenterology and Hepatology. 26: 94–101. doi:10.1111/j.1440-1746.2011.06643.x. ISSN 0815-9319.