TROPICAL AND NONTROPICAL SPRUE (CHRONIC IDIOPATHIC STEATORRHEA): THEIR PROBABLE INTERRELATIONSHIP
Authors: Albert M. Snell
Journal: Annals of Internal Medicine (1939)

Article1 April 1939TROPICAL AND NONTROPICAL SPRUE (CHRONIC IDIOPATHIC STEATORRHEA): THEIR PROBABLE INTERRELATIONSHIPALBERT M. SNELL, M.D., F.A.C.P.ALBERT M. SNELL, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-12-10-1632 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Excerpt"For those Aphthae described to us by the ancient founders of Medicine are to us so diverse, that they differ in every climate." (Vincent Ketelaer: "De aphthis nostratibus, seu Belgarum Sprouw," 1669.)HISTORICAL ASPECTSThe classic descriptions of Hillary (1759), Manson (1880) and van der Burg (1880) not only established the clinical syndrome of tropical sprue in the medical literature, but served in a sense to establish certain geographical limits within which the disease was normally confined. The original conception that sprue is found only in certain tropical and subtropical climates has been vigorously supported by authorities on tropical medicine...References1. ASHFORD BK: Sprue, In: TICE, FREDERICK: Practice of medicine, 1923, W. F. Prior Company, Inc., Hagerstown, Maryland, vol. 4, pp. 173-196. Google Scholar2. BARKERRHOADS WHCP: The effect of liver extract on the absorption of fat in sprue, Am. Jr. Med. Sci., 1937, cxciv, 804-810. CrossrefGoogle Scholar3. BAUER EL: Celiac disease, Am. Jr. Dis. Child., 1928, xxxv, 414-419. Google Scholar4. NORRISBEARDGERBER EHAHLS: Atrophy of the pancreas with extreme fatty metamorphosis of the liver and steatorrhea, Arch. Path., 1938, xxvi, 1234-1244. Google Scholar5. BENNETTHUNTERVAUGHAN TIDJM: Idiopathic steatorrhea (Gee's disease): a nutritional disturbance associated with tetany, osteomalacia and anaemia, Quart. Jr. Med., n. s. 1932, i, 603-677. Google Scholar6. BLOOMFIELDWYCKOFF ALHA: The treatment of sprue with liver extract, Am. Jr. Med. Sci., 1929, clxxvii, 209-213. CrossrefGoogle Scholar7. BLUMGART HL: Three fatal adult cases of malabsorption of fat with emaciation and anemia, and in two acidosis and tetany, Arch. Int. Med., 1923, xxxii, 113-128. CrossrefGoogle Scholar8. BREMS A: Ein Fall von pancreatogener Fettdiarrhöe, Acta. med. Scandinav., 1932, lxxviii, 80-85. Google Scholar9. CAMP JD: Personal communication to the author. Google Scholar10. CASTLERHOADSLAWSONPAYNE WBCPHAGC: Etiology and treatment of sprue: observations on patients in Puerto Rico and subsequent experiments on animals, Arch. Int. Med., 1935, lvi, 627-699. CrossrefGoogle Scholar11. FAIRLEY NH: Tropical sprue with special reference to intestinal absorption, Trans. Roy. Soc. Trop. Med. and Hyg., 1936-7, xxx, 9-32. CrossrefGoogle Scholar12. FAIRLEYMACKIE NHFP: The clinical and biochemical syndrome in lymphadenoma and allied diseases involving the mesenteric lymph glands, Brit. Med. Jr., 1937, i, 375-380. CrossrefGoogle Scholar13. FAIRLEYKILNER NHTP: Gastro-jejuno-colic fistula, with megalocytic anaemia simulating sprue, Lancet, 1931, ii, 1335-1341. CrossrefGoogle Scholar14. FAIRLEYMACKIEBILLIMORIA NHFPHS: Anaemia in sprue; an analysis of 67 cases, Indian Med. Research Mem., 1929, xvi, 831-860. Google Scholar15. FULLERTONINNES HWJA: Case of idiopathic steatorrhoea with multiple nutritional deficiencies, Lancet, 1936, ii, 790-792. CrossrefGoogle Scholar16. GEE S: On the coeliac affection, St. Barth. Hosp. Rep., 1888, xxiv, 17-20. Google Scholar17. GIFFINWOLTMANHECK HZHWFJ: Subacute combined degeneration of the spinal cord unassociated with pernicious anemia, Trans. Assoc. Am. Phys., 1936, li, 240-248. Google Scholar18. HANES FM: Sprue In: Oxford Medicine, 1920, vol. 5, Part II, pp. 631-655. Google Scholar19. HANES FM: Ashford's bibliography of sprue, Puerto Rico Jr. Pub. Health and Trop. Med., 1938, xiii, 427-484. Google Scholar20. HANESMCBRYDE FMA: Identity of sprue, nontropical sprue and celiac disease, Arch. Int. Med., 1936, lviii, 1-16. CrossrefGoogle Scholar21. HANSEN K: Die einheimische Sprue, Zentralbl. f. inn. Med., 1936, lvii, 425-431. Google Scholar22. HANSEN K: Einheimische—"europäische"—Sprue, ihre Symptomatologie und Pathogenese, Deutsch. med. Wchnschr., 1937, lxiii, 849-853. CrossrefGoogle Scholar23. HERTER CA: On infantilism from chronic intestinal infection, characterized by the overgrowth and persistence of flora of the nursling period, 1908, The MacMillan Co., New York, 118 pp. Google Scholar24. HEUBNER O: Über schwere Verdauungsinsuffizienz beim Kinde jenseits des Säuglingsalters, Jahrb. f. Kinderh., 1910, lxx, 667-700. Google Scholar25. HILLARY W: Observations on the changes of the air and the concomitant epidemical diseases in the Island of Barbadoes. To which is added a treatise on the putrid bilious fever, commonly called the yellow fever; and such other diseases as are indigenous or endemial in the West India Islands, or in the torrid zone, vol. 13, 1759, C. Hitch and L. Hawes, London, 360 pp. Google Scholar26. HOLST JE: Ein Fall von pankreatogener Steatorrhöe, Ztschr. f. klin. Med., 1930, cxv, 286-292. Google Scholar27. JONESBENEDICTHAMPTON CMEBAO: Variations in the gastric mucosa in pernicious anemia: Gastroscopic, surgical and roentgenologic observations, Am. Jr. Med. Sci., 1935, cxc, 596-610. CrossrefGoogle Scholar28. KETELAER V: Commentarius medicus de aphthis nostratibus Seu Belgarum Sprouw, Lugd. Bat., 1672, 58 pp. Google Scholar29. KONSTAM G: Idiopathic steatorrhoea with osteoporosis, tetany and megalocytic anaemia, Proc. Roy. Soc. Med., Pt. 1, 1936, xxix, 631-633. CrossrefGoogle Scholar30. KONSTAMGORDON GH: Idiopathic steatorrhoea with skin lesions and megalocytic anaemia, Proc. Roy. Soc. Med., Pt. 1, 1936, xxix, 629-631. CrossrefGoogle Scholar31. LANGMEAD FS: Steatorrhoea due to obstruction of lacteals by tuberculous peritonitis, Trans. Med. Soc. London, 1937, lx, 78-80. Google Scholar32. LINDERHARRIS GCCF: Calcium and phosphorus metabolism in chronic diarrhoea with tetany, Quart. Jr. Med., 1930, xxiii, 195-212. CrossrefGoogle Scholar33. LOWFAIRLEY GCNH: Fatal perforation of the caecum in a case of sprue, Brit. Med. Jr., 1934, ii, 678-679. CrossrefGoogle Scholar34. LUCKSCHSACHS FHW: Sektionsbefund bei einem fraglichen Fall von einheimischer Sprue, Virchow's Arch. f. path. Anat., 1937, ccxcix, 786-792. CrossrefGoogle Scholar35. MACKIE TT: Nontropical sprue, Med. Clin. N. Am., 1933, xvii, 165-184. Google Scholar36. MACKIEFAIRLEY FPNH: The morbid anatomy of sprue, Indian Med. Research Mem., 1929, xvi, 799-826. Google Scholar37. MACKIEFAIRLEY FPNH: Gross and microscopic anatomy of the intestinal canal from two cases of sprue, Trans. Roy. Soc. Trop. Med. and Hyg., 1934, xxvii, 340. Google Scholar38. MACKIEPOUND TTRE: Changes in the gastro-intestinal tract in deficiency states, with special reference to the small intestine: a roentgenologic and clinical study of 40 cases, Jr. Am. Med. Assoc., 1935, civ, 613-618. CrossrefGoogle Scholar39. MACKIEMILLERRHOADS TTDKCP: Sprue: roentgenologic changes in the small intestine, Am. Jr. Trop. Med., 1935, xv, 571-589. CrossrefGoogle Scholar40. MANSON-BAHR PH: A report on researches on sprue in Ceylon, 1912-1914; 1915, Cambridge University Press, London, 155 pp. Google Scholar41. MANSON P: Notes on sprue, Medical Report, China Imperial Customs, Shanghai, 1879-1880, No. XIX, pp. 33-37. Google Scholar42. MARBLEBAUER AW: Calcium and phosphorus metabolism in a case of nontropical sprue with associated tetany, Arch. Int. Med., 1931, xlviii, 515-532. CrossrefGoogle Scholar43. MENDEZ FERREIRABARGEN AEJA: So-called nontropical sprue associated with tuberculosis of the lymph nodes, Proc. Staff. Meet Mayo Clin., 1937, xii 289-294. Google Scholar44. MILLERBARKER DKWH: Clinical course and treatment of sprue, Arch. Int. Med., 1937, lx, 385-414. CrossrefGoogle Scholar45. MILLERRHOADS DKCP: The experimental production of loss of hematopoietic elements of the gastric secretion and of liver in swine with achlorhydria and anemia, Jr. Clin. Invest., 1935, xiv, 153-172. CrossrefGoogle Scholar46. MILLERRHOADS DKCP: The effect of liver extract on the small intestine of patients with sprue, Am. Jr. Med. Sci., 1936, cxci, 453-456. CrossrefGoogle Scholar47. MINDLINEROSENHEIM JML: Duodenocolic fistula simulating idiopathic steator rhoea, Lancet, 1935, ii, 764-767. CrossrefGoogle Scholar48. MOGENSEN E: Three cases of idiopathic steatorrhoea (Gee-Thaysen's disease), Quart. Jr. Med., 1937, vi, 119-141. Google Scholar49. MONCRIEFFPAYNE AWW: The aetiology of coeliac disease: preliminary communication on the blood fat, Arch. Dis. Child., 1928, iii, 257-261. CrossrefGoogle Scholar50. NUSSBRECHERMORTON AMF: Idiopathic steatorrhoea; report of a case arising in adult life, Brit. Med. Jr., 1937, i, 1152-1154. CrossrefGoogle Scholar51. PENDERGRASSRAVDINJOHNSTONHODES EPISCGPJ: Studies of the small intestine. II. The effect of foods and various pathologic states on the gastric emptying and the small intestinal pattern, Radiology, 1936, xxvi, 651-662. CrossrefGoogle Scholar52. PORTERRUCKER WBJE: The treatment of nontropical sprue with liver extract. Report of 2 cases, Am. Jr. Med. Sci., 1930, clxxix, 310-316. CrossrefGoogle Scholar53. RAVDINPENDERGRASSJOHNSTONHODES ISEPCGPJ: The effect of foodstuffs on the emptying of the normal and operated stomach and the small intestinal pattern, Am. Jr. Roentgenol., 1936, xxxv, 306-315. Google Scholar54. RHOADSCASTLE CPWB: The pathology of bone marrow in sprue anemia, Am. Jr. Path., 1933, ix, 813-826. Google Scholar55. RIDDELL WJ: Coeliac disease associated with night blindness and xerosis conjunctivae, Trans. Ophth. Soc. U. Kingdom, 1933, liii, 295-302. Google Scholar56. ROSENTHAL H: Die Darmbefunde bei der einheimischen Sprue, Virchow's Arch. f. path. Anat., 1937, ccxcviii, 706-727. CrossrefGoogle Scholar57. SUAREZ RM: Clinical and hematological review of sprue based on the study of 150 cases, ANN. INT. MED., 1938, xii, 529-535. Google Scholar58. SIMON SK: Report of a probable case of sprue, South. Med. Jr., 1911, iv, 466-468. CrossrefGoogle Scholar59. SNELL AM: Clinical observations on nontropical sprue, Arch. Int. Med., 1936, lvii, 837-856. CrossrefGoogle Scholar60. SNELLCAMP AMJD: Chronic idiopathic steatorrhea: roentgenologic observations, Arch. Int. Med., 1934, liii, 615-629. CrossrefGoogle Scholar61. STARRGARDNER PL: A biochemical study of two patients with a condition simulating sprue, Am. Jr. Trop. Med., 1930, x, 283-293. CrossrefGoogle Scholar62. THAYSEN TE: Nontropical sprue: a study in idiopathic steatorrhoea, 1932, Levin and Munksgaard, Copenhagen, 258 pp. Google Scholar63. THAYSEN TE: Ten cases of idiopathic steatorrhoea, Quart. Jr. Med., 1935, iv, 359-395. Google Scholar64. VAN DER BURG CL: Indische Spruw (Apthae tropicae), 1880, Ernest & Company, Batavia; translated in Medical Report, China Imperial Customs, Oct.-March, 1883. Google Scholar65. VAN DER SCHEER : Quoted by Manson-Bahr, P. H. Google Scholar66. WEIRADAMS JFM: Idiopathic steatorrhea: metabolic study of a patient with reference to the utilization of nitrogen and fat, Arch. Int. Med., 1935, lvi, 1109-1116. CrossrefGoogle Scholar67. WOOD EJ: The occurrence of sprue in the United States, Am. Jr. Med. Sci., 1915, cl, 692-700. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Rochester, Minnesota*Read at Symposium on Medical Problems given at Duke University, Durham, North Carolina, October 13-15, 1938. 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