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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Tropical sprue – Wikipedia

For more than a century, tropical sprue has been recognized as affecting people living in certain villages and houses sprue houses. Ann Trop Med Parasitol 64 — Postgrad Med J 53 — Mechanisms of intestinal adaptation. Your doctor will order a series of tests to rule out these conditions. Open in a separate window.

Gut 54 — What Are the Symptoms of Tropical Sprue? Abdominal pain may be a major complaint.

Wondering what to eat, how much, or just how to have a healthier relationship with food? Protozoal infections of the small intestine are particularly common in tropical countries and may be associated with malabsorption.

Tropical sprue

This removal process is called a biopsyand the sample will be analyzed. Why It Happens and How to Prevent It Since the introduction of the first birth control pill inwomen have come to rely on the pill as an effective way to prevent pregnancy. Left untreated, nutrient and vitamin deficiencies may develop in patients with tropical sprue. One way to diagnose tropical sprue is to look for signs of the nutritional deficiencies it causes.


In the process, it has become an extremely significant disease because it is a classical example of a malabsorptive process, and has shed considerable light on intestinal physiology and on other malabsorption syndromes.

Am J Gastroenterol 95 — Ann Intern Med 79 — Chowkhamba Sanskrit Series Office, Your doctor may also prescribe antidiarrheal medications to control symptoms. Am J Med 89 — Tropical sprue is a primary malabsorption syndrome eaprue runs a chronic relapsing course. Your body needs vitamins and nutrients to function properly.

Helminth infections are an occasional cause of tropical malabsorption. Villus atrophy, crypt elongation and inflammatory cell infiltration of the lamina propria can be seen.

N Engl J Med — Coccidian parasites such as Cyclospora cayetanensis might have a role in the initiation of tropical sprue in some patients. Am J Clin Nutr 21 — Treatment Restoration of fluid and electrolyte balance is necessary in dehydrated patients, and deficiencies of magnesium and potassium need to be corrected in those with longstanding illness. Characterization of intestinal disease associated with human immunodeficiency virus epsrue and response to antiretroviral therapy.

Tropical Sprue

Am J Trop Med Hyg 70 — Tropical sprue Definition Tropical sprue is an acquired disease of unknown aetiology, characterised by malabsorption, multiple nutritional deficiencies and mucosal abnormalities in the small bowel. D ICD – AIDS 1 9— The cohort comprised 6 men and 6 women with a median age of 59 years range, 38 to 78 y with a history of residence or visitation in South Asia or Papua New Guinea. In addition to expatriates residing in endemic areas for more than 1 year, the disease has affected espru British and American troops and their families while previously on duty in India, Burma and the Far East.


This article briefly reviews the management of tropical sprue and presents an algorithm for its investigation and management.

Gastroenterol Clin North Am 25 — Peroral capsule biopsy of the jejunal mucosa has been replaced by endoscopically obtained duodenal mucosal biopsy. Initially thought to tro;ical 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.

Do You Live with Anxiety? Ailments of unknown cause Gastrointestinal tract disorders Malnutrition Steatorrhea-related diseases.

Tropical malabsorption

Children will receive a different antibiotic instead. Clinical manifestations A typical patient with tropical sprue is an adult who presents with chronic diarrhoea, glossitis, bloating, prominent bowel sounds and weight loss. How Is Tropical Sprue Diagnosed? These may comprise using only bottled water for drinking, brushing teeth, and washing food, and avoiding fruits washed with troopical water or consuming only peeled fruits, such as bananas and oranges.

Since the advent of AIDS, protozoal infections have become important causes of tropical malabsorption, 2021 although they are now uncommon tropicla the developed countries as a result of antiretroviral treatment.