Tropical sprue history and symptoms: Difference between revisions
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{{Tropical sprue}} | {{Tropical sprue}} | ||
{{CMG}} | {{CMG}}; {{AE}} {{AKI}} | ||
==Overview== | ==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 | ==History== | ||
Obtaining [[History and Physical examination|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 and Physical examination|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: | |||
* | *[[Fever]] | ||
* | *[[Abdominal pain]] | ||
* | *Changes in [[appetite]] | ||
* | *[[Bowel movement|Bowel movements]] | ||
* | *[[Weight loss]] | ||
*[[Leg swelling]] | |||
==Symptoms== | |||
* | Common symptoms in patients with acute phase of tropical sprue present with the following symptoms: <ref name="pmid12859716">{{cite journal| author=Walker MM| title=What is tropical sprue? | journal=J Gastroenterol Hepatol | year= 2003 | volume= 18 | issue= 8 | pages= 887-90 | pmid=12859716 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12859716 }} </ref> | ||
* | *[[Diarrhea]]<ref name="pmid17089618">{{cite journal| author=Thakur B, Mishra P, Desai N, Thakur S, Alexander J, Sawant P| title=Profile of chronic small-bowel diarrhea in adults in Western India: a hospital-based study. | journal=Trop Gastroenterol | year= 2006 | volume= 27 | issue= 2 | pages= 84-6 | pmid=17089618 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17089618 }} </ref> | ||
* | *[[Anorexia]] | ||
*Weight loss | *Abdominal [[bloating]] | ||
*Malnutrition | *[[Flatulence]] | ||
*Anemia | *[[Myalgia]] | ||
*Fatigue | *[[Fever]] | ||
*Neuropathy | Common symptoms in patients with chronic phase of [[tropical sprue]] present with the following symptoms:<ref name="pmid24441659">{{cite journal| author=Brown IS, Bettington A, Bettington M, Rosty C| title=Tropical sprue: revisiting an underrecognized disease. | journal=Am J Surg Pathol | year= 2014 | volume= 38 | issue= 5 | pages= 666-72 | pmid=24441659 | doi=10.1097/PAS.0000000000000153 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24441659 }} </ref> | ||
*Bone pain due to calcium and vitamin D malabsorption | *[[Weight loss]] | ||
*Weakness in combing hair and getting up from the chair | *[[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 [[Muscle weakness|proximal muscle weakness]] | |||
==References== | ==References== | ||
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{{WS}} | {{WS}} | ||
{{WH}} | {{WH}} | ||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Gastroenterology]] | |||
Latest revision as of 00:30, 30 July 2020
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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.