malabsorption
please add any if u may
D\D and how to recognize each
all intestinal epithelium disorders >> defect in D-xylose absorption test
1-Celiac disease
anti TTG and endomysial antibodies
dudenal\ jejunal biopsy with characterstic finding
Microcytic anemia
2-Tropical sprue
very much similar to celiac disease when it comes to s\s
But in tropics and associated with Megaloblastic anemia (folate defeciency) jejuneal involvement
3-Lactase deficiency
osmotic diarrhea
Hydrogen breath test
decreased stool ph (acidic)
4-pancreatic insufficiency
decreased fecal elastase
decreased dudenal epithelial ph
Normal D-xylose test
5-whipple disease:
Foamy epithelial cells (PAS positive) >> micoorganisms and glycoprotein