THOMAS P. ALMY, M.D.
Treatment of cases of tropical sprue by means of diet, vitamin supplements, and liver extract, folic acid, or vitamin B12 is considered to be satisfactory in the great majority of cases. In the closely related syndrome of idiopathic steatorrhea (nontropical sprue), these measures are often inadequate to bring on a remission, and occasionally a patient with this disorder will become progressively worse despite well-directed and intensive therapy. In such a resistant case, we have been led to administer concentrated human albumin, and subsequently ACTH, with favorable results. This report is concerned with the description of these therapeutic effects, and with
ALMY TP. A REFRACTORY CASE OF IDIOPATHIC STEATORRHEA (NON-TROPICAL SPRUE), WITH OBSERVATIONS ON THE THERAPEUTIC EFFECTS OF SALT-POOR HUMAN ALBUMIN AND OF THE ADRENOCORTICOTROPIC HORMONE(A REFRACTORY CASE OF IDIOPATHIC STEATORRHEA (NON-TROPICAL SPRUE), WITH OBSERVATIONS ON THE THERAPEUTIC EFFECTS OF SALT-POOR HUMAN ALBUMIN AND OF THE ADRENOCORTICOTROPIC HORMONE*). Ann Intern Med. 1951;34:1041–1048. doi: 10.7326/0003-4819-34-4-1041
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Published: Ann Intern Med. 1951;34(4):1041-1048.
Celiac Disease and Malabsorption, Gastroenterology/Hepatology.
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