van Duijnhoven E M, Rijken J, Theunissen P H
De Wever Ziekenhuis, afd. Interne Geneeskunde, Heerlen.
Ned Tijdschr Geneeskd. 1993 Dec 4;137(49):2552-4.
The clinical course is described of a 69-year-old patient with a malabsorption syndrome since her stay in Indonesia. Besides chronic diarrhoea and weight loss she suffered from malnutrition and had partial villous atrophy. Coeliac disease was considered in the differential diagnosis but considering the endemic appearance of postinfectious tropical sprue (PTS) in Indonesia and the extreme vitamin B12 deficiency our patient experienced, PTS appeared more likely. A good response to the therapy prescribed for PTS confirmed the diagnosis.
描述了一名69岁患者的临床病程，该患者自旅居印度尼西亚以来患有吸收不良综合征。除慢性腹泻和体重减轻外，她还患有营养不良并伴有部分绒毛萎缩。鉴别诊断时考虑了乳糜泻，但鉴于印度尼西亚感染后热带口炎性腹泻（PTS）的地方病表现以及我们的患者所经历的极端维生素B12缺乏症，PTS似乎更有可能。对PTS规定疗法的良好反应证实了诊断。
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