prathapdoctor wrote:
the diagnosis is celiac sprue, the treatment is avoiding gluten diet, on biopsy there will be villous atrophy with compensatory crypt hyperplasia and lymphocytic infiltration.
Agree with this explanation.
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| chemamr
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more opinions?
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| chemamr
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answer given is as cocacola says
-tropical sprue (santo domingo)
-flattened villi plus lymphocytes and plasma cell infiltration
-tetracyclines plus folic acid
celiac and tropical sprue are really very similar, even in the biopsy.
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| prathapdoctor
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where is that santodomingo located, the patient just came to usa but the symptoms had been there for the past 3 yrs.the question is a bit tricky.
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| chemamr
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yes, a bit tricky. santo domingo is in Republica Dominicana which is close to Puerto Rico.
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