[Postinfectious tropical malabsorption and the differences from non-tropical sprue (celiac disease)].
The clinical course is described of a 69-year-old patient with a malabsorption syndrome since her stay in Indonesia. Besides chronic diarrhoea and weight loss she suffered from malnutrition and had partial villous atrophy. Coeliac disease was considered in the differential diagnosis but considering the endemic appearance of postinfectious tropical sprue (PTS) in Indonesia and the extreme vitamin B12 deficiency our patient experienced, PTS appeared more likely. A good response to the therapy prescribed for PTS confirmed the diagnosis.
van Duijnhoven
E M
EM
De Wever Ziekenhuis, afd. Interne Geneeskunde, Heerlen.
Rijken
J
J
Theunissen
P H
PH
D000368:Aged; D002446:Celiac Disease / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D005492:Folic Acid / Q000627:therapeutic use; D006801:Humans; D007583:Jejunum / Q000473:pathology; D013182:Sprue, Tropical / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D013752:Tetracycline / Q000627:therapeutic use; D014805:Vitamin B 12 / Q000627:therapeutic use; D014806:Vitamin B 12 Deficiency / Q000209:etiology
D005492:Folic Acid; D013752:Tetracycline; D014805:Vitamin B 12
Postinfectieuze tropische malabsorptie en de verschillen met niet-tropische spruw (coeliakie).