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Tropical Sprue in Haiti

FREDERICK A. KLIPSTEIN, M.D.; I. MICHAEL SAMLOFF, M.D.; and ERIC A. SCHENK, M.D.
Ann Intern Med. 1966;64(3):575-594. doi:10.7326/0003-4819-64-3-575
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This excerpt has been provided in the absence of an abstract.

The first description of tropical sprue was presented over 2 centuries ago by Hillary from the island of Barbados in the West Indies (1, 2). Since that time, the presence of endemic tropical sprue in the West Indies has been thoroughly documented on the islands of Cuba (3) and Puerto Rico (4, 5); however, the disease is alleged never to have been seen in Jamaica (4) and has not been reported from Haiti or other islands in the Caribbean.

A recent nutritional survey by Sebrell and his associates (6) has indicated that a high prevalence of anemia and multiple nutritional

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