title: Tropical sprue: two cases report and review of literature. Has anything changed in the past 40 years?
abstract: BACKGROUND
  Tropical sprue is an acquired condition seldom reported in travelers from tropical countries including Thailand. Only one case report from Thailand was reported in 1969.
  
  
  METHODS
  The authors report two cases of American residents living in Thailand and Vietnam who had been suffering from chronic diarrhea, weight loss, being easily fatigued and nutritional deficiency and who dramatically responded after treatment for tropical sprue. However a relapsed episode was seen in one case and somewhat permanent damage was detected in another case.
  
  
  CONCLUSIONS
  Tropical sprue is currently which a rare condition for which the diagnosis is obtained by clinical presentation, laboratory tests which show evidence of mal-absorption, endoscopic findings and clinical response to antimicrobial treatment.
authors.affiliation: Digestive Institute, Samitivej Sukhumvit Hospital, Bangkok, Thailand.
authors.forename: Pitulak
authors.initials: P
authors.lastname: Aswakul
authors.forename: Varayu
authors.initials: V
authors.lastname: Prachayakul
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013182:Sprue, Tropical / Q000175:diagnosis / Q000628:therapy; D013997:Time Factors