Tropical sprue.

Curr Gastroenterol Rep

Department of Internal Medicine, Division of Gastroenterology and Hepatology, University of Texas Medical Branch, Galveston, TX 77555-0174, USA.

Published: October 2005

AI Article Synopsis

  • - Tropical sprue (TS) is a condition causing chronic diarrhea and malabsorption, primarily affecting people in tropical regions.
  • - The precise causes of TS are unclear, but factors like bacterial overgrowth and hormonal changes play a role in its development.
  • - While tetracycline and folate can help some patients, relapses are common, prompting ongoing research to better understand and treat the condition.

Article Abstract

Tropical sprue (TS) is a clinical entity of unknown etiology characterized by an acquired chronic diarrheal illness and malabsorption that affects indigenous inhabitants and expatriates, either long-term residents or short-term visitors, in the tropical countries. The exact pathogenetic sequence of TS remains incompletely characterized. Bacterial overgrowth, disturbed gut motility, and hormonal and histopathologic abnormalities contribute to the development of TS in a susceptible host. Treatment with tetracycline and folate is effective in some patients, although relapses after treatment are common. Research in the areas of microbial factors, pathogenesis, immunogenetics, and hormonal and immune regulation, using modern diagnostic techniques, may be able to settle some of the unanswered issues and open new venues for diagnosis, prevention, and treatment of tropical sprue.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11894-005-0002-4DOI Listing

Publication Analysis

Top Keywords

tropical sprue
12
tropical
4
sprue tropical
4
sprue clinical
4
clinical entity
4
entity unknown
4
unknown etiology
4
etiology characterized
4
characterized acquired
4
acquired chronic
4

Similar Publications

Chronic diarrhea is a common disorder in tropical regions, affecting residents, visitors, and even expatriates. It may stem from a myriad of infectious, inflammatory, and even malignant causes. In patients in whom no etiology has been found, tropical sprue (TS) is an important diagnosis to consider.

View Article and Find Full Text PDF

Celiac disease is an autoimmune disorder characterized by a broad spectrum of histological damage to the intestinal mucosa. Comprehension and understanding of the association between anti-tissue transglutaminase (anti-tTG) antibody levels and the histological severity of celiac disease are not well established, prompting the need for meta-analysis. This study aims to offer insights into the diagnostic abilities of anti-tTG antibody levels in determining the histological severity of celiac disease by providing quantitative evidence based on a diverse range of studies.

View Article and Find Full Text PDF

Background: The diagnosis of celiac disease (CD) is based on positive IgA autoantibodies to tissue transglutaminase (TTG IgA) and confirmatory histopathology demonstrating duodenal villus atrophy (VA). Diagnostic challenges can occur when VA is found on duodenal biopsies in patients without prior CD serologies.

Aims: To characterize the predictors of CD seropositivity in patients with VA on biopsy without prior CD serologies.

View Article and Find Full Text PDF

The differential diagnoses for severe enteropathy or severely damaged small intestinal mucosa.

Gastroenterol Hepatol Bed Bench

January 2023

Department of Gastroenterology, MidCentral District Health Board, Palmerston North, New Zealand.

Aim: The aim of this study was to explore the aetiology of severe duodenal mucosal abnormality in consecutive patients who underwent gastroscopy and duodenal biopsy over the past 10 years.

Background: A range of differential diagnoses have been reported for severe duodenal architectural distortion.

Methods: Clinical and laboratory data of all the patients with severe duodenal architectural distortion diagnosed at MidCentral District Health Board (DHB), New Zealand were collected and statistically analysed.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!