Tropical sprue laboratory findings
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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 | |||||||||||||||||||||||||||||||||||