Tropical sprue is an acquired chronic diarrheal disorder of unclear etiology affecting residents of and visitors to tropical regions. Patients usually present with . English Spanish online dictionary Term Bank, translate words and terms with different pronunciation options. ESPRUE TROPICAL trastorno de diarrea crónica con mala absorción y deficiencia nutricional etiología desconocida regiones tropicales.

Author: Maumuro Bale
Country: Tajikistan
Language: English (Spanish)
Genre: Personal Growth
Published (Last): 6 September 2014
Pages: 387
PDF File Size: 11.26 Mb
ePub File Size: 2.92 Mb
ISBN: 942-6-13164-210-6
Downloads: 32548
Price: Free* [*Free Regsitration Required]
Uploader: Samushura

Tropical sprue – Wikipedia

Malabsorption in Crohn’s disease may occur as a result of several factors. Protozoal infections of the small intestine are particularly common in tropical countries and may be associated with malabsorption.

Ann Trop Med Parasitol 64 — Xylose absorption is usually normal in these patients, and faecal fat is grossly increased. Coccidian parasites such as Cyclospora cayetanensis might have a role in the initiation of tropical sprue in some patients.

Coeliac disease in developing countries: Persistent diarrhea in the returning traveler: Am J Clin Nutr 33 — A structured approach to diagnosis and therapy is outlined. Dig Dis Sci 32 — Tropical sprue in expatriates from the tropics living in the continental United States. J Pediatr Gastroenterol Nutr 41 — Idiopathic chronic calcific pancreatitis is endemic in several tropical regions including tropicql Indian subcontinent and southern Africa.

A villous tip accentuation of intraepithelial lymphocytosis was not appreciable in most cases. Am J Gastroenterol — Malabsorption is an important clinical problem in tropical countries, typically presenting with chronic diarrhoea, glossitis, weight loss and multiple nutritional deficiencies.


Clubbing of the tropicql is characteristic and abdominal masses may be palpated on physical examination. Gut 5 45— Curr Gastroenterol Rep 3 — Digestive disease as a national problem. Morphologic characteristics of jejunal biopsies from trpoical Haitians and Puerto Ricans.

Restoration of fluid and electrolyte balance is necessary in dehydrated patients, and deficiencies of magnesium and potassium need to be corrected in those with longstanding illness. Some patients may present solely with a specific nutritional deficiency such as megaloblastic anaemia or hyperpigmentation of the skin due to vitamin B 12 deficiency.

Retrieved from ” https: J Med Virol 14 — J HIV Ther 7 17— Abdominal angina Mesenteric ischemia Angiodysplasia Bowel obstruction: Its etiology remains unknown. Scand J Gastroenterol 40 — Viral particles resembling human enteric corona viruses have been identified in the stool of patients with tropical sprue. In the process, it has become an extremely significant disease because it is a classical example of a malabsorptive process, and has shed tropicla light on intestinal torpical and on other malabsorption syndromes.

Tropical Medicine Central Resource

This article briefly reviews the management of tropical sprue and presents an algorithm for its investigation and management. Gut 40 — Rarely, vitamin Eslrue deficiency may manifest with night blindness and corneal xerosis, while vitamin B 12 deficiency leads to subacute combined degeneration of the spinal cord.

Eprue is seen in adults of both sexes tro;ical more often than in children, and may affect both civilian and military populations. Lancet 1 13— J Infect Dis — Mechanisms of intestinal adaptation. T cells possibly have a role in the development of enteropathy.


Preventive measures for visitors to tropical areas where the condition exists include steps to reduce the likelihood of gastroenteritis.

Common variable immunodeficiency occurs sporadically in residents of the tropics, and may present primarily as a malabsorption syndrome.

Tropical malabsorption

Am J Clin Nutr 21 — A review of laboratory tests of intestinal absorption in the tropics. It had been known for some time, following the discovery of new lands in on 15th and 16th centuries and their subsequent colonization, that some of the Europeans who came to live on these tropical islands of the Americas were afflicted with a new disease.

Histologic findings suggesting tropical sprue in the appropriate clinical context include incomplete duodenal villous blunting without development of flat mucosa, frequent involvement of the terminal ileum with more marked inflammation and villous blunting than in the duodenum, and a conspicuous eosinophil infiltrate in the lamina propria.

The most common infection noted in these patients is with the protozoan G intestinalis.

For instance, C parvum is the most important diarrhoeal pathogen in Zaire and Uganda, whereas I belli is the most common pathogen causing chronic diarrhoea and malabsorption in south India.