QUOTE(StarGhazzer @ Feb 2 2010, 07:38 PM)
Tropical sprue is associated with bacterial overgrowth. I don't think the term "bacterial overgrowth" is a strong and valid independent diagnosis but I'm no gastro expert and I could be wrong.
If it's angmoh then celiac would be high on the list, but that doesn't mean that non caucasians won't get celiac. Check anti-TTG and endomysial Ab, if positive then scope + biopsy. Tropical sprue would have similar biopsy results as celiac without the autoantibodies.
Also think about IBD eg Crohn's even though she doesn't seem to be febrile.
If it's a real life case, keep us updated on the progress and the diagnosis

its juz a stimuli case given to us every 2 weeks....
the lecturer's juz give us the history of the of patient...
and we have to deduce wat is wrong..and present in on the following week...with the treatment
me n my friend ruled out celiac because its autoimmune plus usually heridatory ...
since the history of the patient stated that all other system were normal...so dat probably includes the Ag level...
there were no vomitting or even nausea in her history....
thus safe for us to conclude tropical sprue then?
though i still wonder the difference between bacterial overgrowth syndrome and tropical sprue itself..
according to the article in emedicine both r 2 different diognosis.....