Tropical sprue (TS) is a syndrome characterized by acute or chronic diarrhea, weight loss, and malabsorption of nutrients. It occurs in residents. Tropical Sprue; Kwashiorkor. Sprue, both tropical and nontropical, has been a subject of great interest to the medical community ever Sp: Esprue tropical. Tropical sprue is a chronic diarrheal disease, possibly of infectious origin, that involves the small intestine and is characterized by.

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Villus atrophy, crypt elongation and inflammatory cell infiltration of the lamina propria can be seen. Typically, three faecal samples should be obtained for microscopy, and examined trropical wet smears after concentration techniques and with special stains such as safranine methylene blue or modified AFB stains for the protozoan parasites.

It had been known for some time, following the discovery of new lands in the 15th and 16th centuries and their subsequent colonization, that some of the Europeans who came to live on these tropical islands of the Troical were afflicted with a new disease. Indian J Gastroenterol 23 94— Coeliac disease in developing countries: It usually does not recur in people who get it during travel to affected regions.

Gut 54 — Peroral capsule biopsy of the jejunal mucosa has been replaced by endoscopically obtained duodenal eaprue biopsy. Answers F, false, T, true 1. Khokhar N, Gill M L.

Tropical sprue: revisiting an underrecognized disease.

Braz J Infect Dis 7 16— Am J Trop Med Hyg 74 — Ann Intern Med 79 — Clubbing of the fingers is characteristic and abdominal masses may be palpated on physical examination. Tropical sprue is an acquired disease of unknown aetiology, characterised by malabsorption, multiple nutritional deficiencies and mucosal abnormalities in the small bowel.


This kills the bacteria overgrowth that results in this condition. Initially thought to be confined to visitors to the tropics, it became apparent in the early 20th century that indigenous residents of the tropics were afflicted with similar illnesses.

How Is Tropical Sprue Diagnosed? There is no known prevention for tropical sprue other than avoiding tropical locations.

In the meantime, there are things you can try to help calm or quiet your anxiety…. J Gastroenterol Hepatol 2 — Middle East, India and North Africa.

Statistical Department of the Inspectorate General, — Clin Microbiol Rev 5 — The prognosis for tropical sprue may be excellent after treatment. The name “sprue” is derived from the Dutch word “sprouw” which means stomatitis. Gastrointest Endosc 51 — J Infect Dis S—S Ann Intern Fropical — These include I belliC parvum and microsporidia.

If you have tropical sprue, there may be signs of swelling in the lining of your small intestine.

Tropical sprue: revisiting an underrecognized disease.

The cohort comprised 6 men and 6 women with a median age of 59 years range, 38 to 78 y with a history of trropical or visitation in South Asia or Papua New Guinea. Ann Trop Med Parasitol 64 — Left untreated, nutrient and vitamin deficiencies may esprye in patients with tropical sprue. Other protozoa box 1 associated with malabsorption include Cryptosporidium parvumIsospora belliCyclospora cayetanensis and Microsporidia species Enterocytozoon bieneusi and Encephalitozoon intestinalis.

Enteric disease among United States troops in Vietnam. Chronic diarrhoea and malabsorption are seen in a small proportion of infected people.


Specifically, it generally occurs in the tropical areas of:. Scand J Gastroenterol 40 — Role of bacterial toxins, bile acids, and free fatty acids in colonic water malabsorption in tropical sprue.

That’s why we love them. Abstract Malabsorption is an es;rue clinical problem both in visitors to the tropics and in native residents of tropical countries. Viral particles resembling human enteric corona viruses have been identified in the stool of patients with tropical sprue.

Gut 40 — Tropical sprue is a malabsorption disease commonly found in tropical regions, marked with tropiical flattening of the villi and inflammation of the lining of the small intestine. From Wikipedia, the free encyclopedia.

Tropical sprue

Klipstein in described the disorder thusly modified by Cook, Your doctor will prescribe you therapy to replace the vitamins, nutrients, and electrolytes that your body is lacking. Reports of tropical sprue have become infrequent in the literature, and the diagnosis is often tropicap considered either clinically or pathologically.

Baker and Klipstein 78 suggested that the diagnosis of tropical sprue should esprie made only when there is malabsorption of two or more unrelated nutrient groups eg, fat and carbohydrateand after other known causes of malabsorption have been excluded.

Preventive measures for visitors to tropical areas where the condition exists include steps to reduce the likelihood of gastroenteritis. AIDS 1 9—