True about tropical sprue are A/E:
Protein losing enteropathy
Steatorrhea
Stomatitis
Jejunal biopsy is specific
An upper endoscopy with biopsy of the duodenum (beyond the duodenal bulb) or jejunum is performed. It is impoant for the physician to obtain multiple samples (4-8) from the duodenum. Not all areas may be equally affected; if biopsies are taken from healthy bowel tissue, the result would be a false negative. Findings : Scalloping of the small bowel folds Paucity in the folds A mosaic pattern to the mucosa (cracked mudappearance) Prominence of the submucosa blood vessels, and a nodular pattern to the mucosa. Tropical Sprue presents in adults as steatorrhea, diarrhea and vitamin deficiency -stomatitis
Malabsorbtion Syndrome