Tropical sprue laboratory findings: Difference between revisions
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==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. | |||
*Patients with ileal involvement have low vitamin B12 levels | |||
*Normal transglutaminase levels are present. | |||
===Approach to a patient with Malabsorption in tropical region=== | |||
{{familytree/start}} | |||
{{familytree | | | | | | | | | | | | | | | A01 | A01= Clinical suspicion of malabsoption syndrome}} | |||
{{familytree | | | | | | | | | | | | | | | |!| | }} | |||
{{familytree | | | | | | | | | | | | | | | B01 | |B01= Initial screening perform: <br>Hemogram <br> Stool Microscopy <br> D-xylose test <br> Fecal fat}} | |||
{{familytree | | | | | | | | | | | | | | | |!| |}} | |||
{{familytree | | | | | | | | | | | | | | | C01 | | | | | | | | C01=Confirmatory tests for malabsoption should be done. | |||
{{familytree | | | | | | | | | | | | | | | |!| |}} | |||
{{familytree | | | | | | | | | | | | | | | D01 | |D01= Antiendomysial antibodies and villous atrophy suggests celiac disease <br> Breath test for lactase deficiency <br> Microscopy and culture of jejunal aspirate for small bowel bacterial overgrowth <br> Serum immunoglobulin for B-celll deficiency <br> HIV serology}} | |||
==References== | ==References== |
Revision as of 16:40, 11 April 2017
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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.
- Patients with ileal involvement have low vitamin B12 levels
- Normal transglutaminase levels are present.
Approach to a patient with Malabsorption in tropical region
{{familytree | | | | | | | | | | | | | | | C01 | | | | | | | | C01=Confirmatory tests for malabsoption should be done.
References
Clinical suspicion of malabsoption syndrome | |||||||||||||||||||||||||||||||||||
Initial screening perform: Hemogram Stool Microscopy D-xylose test Fecal fat | |||||||||||||||||||||||||||||||||||
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 | |||||||||||||||||||||||||||||||||||