Tropical sprue laboratory findings: Difference between revisions
Jump to navigation
Jump to search
Line 6: | Line 6: | ||
==Laboratory Findings== | ==Laboratory Findings== | ||
All the patients with celiac disease unresponsive to gluten free diet, a diagnosis of tropical sprue must be considered. The lab findings are not specific for tropical sprue as it is a diagnosis of exlclusion. | All the patients with celiac disease unresponsive to gluten free diet, a diagnosis of tropical sprue must be considered. The lab findings are not specific for tropical sprue as it is a diagnosis of exlclusion. <ref name="pmid22405324">{{cite journal| author=Bonnefoy S, Chauvin A, Galéano-Cassaz C, Camilleri-Broet S, Jacquet SF, Carmoi T et al.| title=[Tropical sprue in an expatriate]. | journal=Rev Med Interne | year= 2012 | volume= 33 | issue= 5 | pages= 284-7 | pmid=22405324 | doi=10.1016/j.revmed.2012.01.015 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22405324 }} </ref> | ||
*Patients with ileal involvement have low vitamin B12 levels | *Patients with ileal involvement have low vitamin B12 levels | ||
*Normal transglutaminase levels are present. | *Normal transglutaminase levels are present. |
Revision as of 17:06, 11 April 2017
Tropical sprue Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Tropical sprue laboratory findings On the Web |
American Roentgen Ray Society Images of Tropical sprue laboratory findings |
Risk calculators and risk factors for Tropical sprue laboratory findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Laboratory Findings
All the patients with celiac disease unresponsive to gluten free diet, a diagnosis of tropical sprue must be considered. The lab findings are not specific for tropical sprue as it is a diagnosis of exlclusion. [1]
- Patients with ileal involvement have low vitamin B12 levels
- Normal transglutaminase levels are present.
Approach to a Patient With Malabsorption in Tropical Region
Clinical suspicion of malabsoption syndrome | |||||||||||||||||||||||||||||||||||||||||||||||
Initial screening perform: Hemogram Stool Microscopy D-xylose test Fecal fat | |||||||||||||||||||||||||||||||||||||||||||||||
Confirmatory tests for malabsoption should be done | |||||||||||||||||||||||||||||||||||||||||||||||
Antiendomysial antibodies and villous atrophy suggests celiac disease Breath test for lactase deficiency Microscopy and culture of jejunal aspirate for small bowel bacterial overgrowth Serum immunoglobulin for B-celll deficiency HIV serology | |||||||||||||||||||||||||||||||||||||||||||||||
Once all other possibilities are ruled out, then the diagnosis of tropical sprue is confirmed | |||||||||||||||||||||||||||||||||||||||||||||||
References
- ↑ Bonnefoy S, Chauvin A, Galéano-Cassaz C, Camilleri-Broet S, Jacquet SF, Carmoi T; et al. (2012). "[Tropical sprue in an expatriate]". Rev Med Interne. 33 (5): 284–7. doi:10.1016/j.revmed.2012.01.015. PMID 22405324.