Tropical sprue:
Infectous agent/Toxin
Region:- Tropics
Histopath:- same as Celiac Sprue
Dx:- No improvement with withdrawl of gluten in symptoms or histopath of intestines
treatment:-Trimethoprim+Sulphamethoxazole or Doxycycline for 6 months.
Whipples' disease:-
Tropheryma whippleii
Extraintestinal manifestations:-
Arthralgia
Dementia ,
opthalmoplegia
Diagnosis:-
Hp:-Small bowel biopsy with foamy macrophages ( PAS positive ).
Treatment:-
Antibiotics
Bactrim/Tetracycline for 6 months-1 year.
1 comment:
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