BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 长期暴露于疾病流行区
  • 全身症状
  • 腹泻
  • 腹胀

其他诊断因素

  • 腹部绞痛
  • 发热
  • 腿肿胀
  • 脱发

危险因素

  • 长期暴露于疾病流行区
  • Aw-19 系列中的 HLA 抗原

诊断性检查

首要检查

  • FBC(全血细胞计数)
  • 粪便脂肪定量测定
  • 右旋木糖试验
  • 血清叶酸
全部具体信息

需要考虑的检查

  • 粪便虫卵和寄生虫试验(O 和 P)
  • 粪便培养
  • 上消化道内镜检查结合活检
  • 叶酸治疗试验
全部具体信息

治疗流程

疾病持续状态

贡献者

Associate Professor of Medicine

Division of Gastroenterology

Duke University Medical Center

Durham

NC

利益冲突披露
DW declares that he has no competing interests.

Clinical Professor of Medicine

Tufts University School of Medicine

Director of Advanced Endoscopic Therapy

Division of Gastroenterology

Tufts Medical Center

Boston

MA

利益冲突披露
MG declares that he has no competing interests.

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Professor of Medicine

Harvard Medical School

Division of Gastroenterology

Beth Israel Deaconess Medical Center

Boston

MA

利益冲突披露
JTLM declares that he has no competing interests.

Instructor in Medicine

Harvard Medical School

Director of Clinical Research

The Celiac Center

Beth Israel Deaconess Medical Center

Boston

MA

利益冲突披露
DL declares that he has no competing interests.

Professor of Gastroenterology

Department of Diabetes and Nutritional Sciences

Kings College London

Rayne Institute

St Thomas' Hospital

London

UK

利益冲突披露
PC declares that he has no competing interests.

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