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Abstracts |

The Military Sprue Syndrome: A Clinical and Laboratory Evaluation.

W. C. Cohen, M.D.; J. P. Brodsky, M.D.; and T. W. Sheehy, M.D., F.A.C.P.
Ann Intern Med. 1963;58(4):726. doi:10.7326/0003-4819-58-4-726_2
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The military sprue syndrome is, in effect, early tropical sprue occurring in continental United States military personnel and their dependents stationed in tropical areas. Thirty-five patients stationed in Puerto Rico were studied by means of jejunal biopsies, vitamin A and xylose tolerance tests, serum carotene levels, fecal fat excretions, bone marrow examinations, and small bowel X rays. The majority of the patients had an acute onset of symptoms which evolved into a chronic complex of weight loss, diarrhea, and fatigue without anemia. Most of the patients had 2 to 5 serial evaluations at intervals varying from 6 weeks to 8


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