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The Face of Tropical Sprue in 2010Batheja M.J.a · Leighton J.a · Azueta A.b · Heigh R.a
aDepartment of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, Ariz., USA; bDepartment of Anatomic Pathology, Hospital Txagorritxu, Vitoria, Spain Corresponding Author
Mashal Jatoi Batheja, MD
13400 East Shea Boulevard
Scottsdale, AZ 85259 (USA)
Tel. +1 480 301 6990, Fax +1 480 301 8673, E-Mail email@example.com
Tropical sprue (TS), although endemic in certain tropical regions of the world, is rarely seen in North America and Europe. However, in this era of globalization and worldwide travel, it is important for all clinicians to be aware of the possibility of TS in patients presenting with nonspecific, persistent gastrointestinal complaints like diarrhea and weight loss. The symptoms and histologic findings of TS can resemble and be confused with those of diseases seen more commonly in nontropical climates like celiac disease and small intestine bacterial overgrowth. Therefore, if the usual causes of persistent diarrhea are ruled out, keeping a high index of suspicion for TS in patients who have a travel history to one of the endemic regions is important.
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