LATENT STEATORRHEA
Authors: D G CAMERON, E H BENSLEY, P WOOD
Journal: Annals of Internal Medicine (1952)

Article1 September 1952LATENT STEATORRHEADOUGLAS G. CAMERON, M.D., E. H. BENSLEY, M.D., F.A.C.P., PHYLLIS WOOD, B.SC.DOUGLAS G. CAMERON, M.D.Search for more papers by this author, E. H. BENSLEY, M.D., F.A.C.P.Search for more papers by this author, PHYLLIS WOOD, B.SC.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-37-3-553 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptDuring the past two years we have found idiopathic steatorrhea in eight adults, none of whom had bowel symptoms to suggest the diagnosis. It seems reasonable to refer to the disorder as latent steatorrhea. These individuals presented with one or more of the following conditions: tetany, frank osteomalacia, unexplained megalocytic anemia and iron deficiency. Steatorrhea was demonstrated in each case by careful fat balance studies. Celiac disease without diarrhea was described in children in 1923.1Since then, steatorrhea in adults without bowel symptoms has been mentioned incidentally by several authors.2, 3, 4, 5, 6, 7However, latent steatorrhea has not...Bibliography1. MillerPerkins RH: The non-diarrhoeic type of coeliac disease, Lancet 1: 72, 1923. CrossrefGoogle Scholar2. BennettHunterVaughan IDJM: Idiopathic steatorrhoea (Gee's disease): a nutritional disturbance associated with tetany, osteomalacia and anaemia, Quart. J. Med. 25: 603, 1932. Google Scholar3. CookeElkesFrazerParkesPeeneySammonsThomas WTJJACJALHGG: Anomalies of intestinal absorption of fat. 1. The determination and significance of faecal fat, Quart. J. Med. 39: 141, 1946. CrossrefGoogle Scholar4. IsraëlsSharp MCJ: Idiopathic steatorrhoea (non-tropical sprue) with megaloblastic anaemia, Lancet 1: 752, 1950. CrossrefMedlineGoogle Scholar5. Anderson A: Milkman's syndrome in idiopathic steatorrhoea complicated by refractory macrocytic anaemia, Lancet 2: 897, 1950. CrossrefMedlineGoogle Scholar6. Strang C: The Looser-Milkman syndrome occurrence in a case of idiopathic steatorrhoea, Brit. J. Surg. 38: 489, 1951. CrossrefMedlineGoogle Scholar7. Witts LJ: Pathogenesis of the megaloblastic anaemias, Lancet 2: 367, 1951. CrossrefMedlineGoogle Scholar8. AlbrightBurnettParsonReifensteinRoos FCHWECA: Osteomalacia and late rickets, Medicine 25: 399, 1946. CrossrefMedlineGoogle Scholar9. : Table of food values recommended for use in Canada, Ottawa, 1946. Google Scholar10. WollaegerComfortWeirOsterberg EEMWJFAE: The total solids, fat and nitrogen in the feces: I. A study of normal persons and of patients with duodenal ulcer on a test diet containing large amounts of fat, Gastroenterology 6: 83, 1946. MedlineGoogle Scholar11. WollaegerComfortOsterberg EEMWAE: Total solids, fat and nitrogen in the feces: III. A study of normal persons taking a test diet containing a moderate amount of fat; comparison with results obtained with normal persons taking a test diet containing a large amount of fat, Gastroenterology 9: 272, 1947. MedlineGoogle Scholar12. FourmanHigginsQuelchO'BrienWitts LPGPJRLJ: The investigation and diagnosis of steatorrhoea, Clin. Sc. 7: 121, 1948. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Montreal, Canada*Presented at the Thirty-third Annual Session of the American College of Physicians, Cleveland, Ohio, April 22, 1952.From the Departments of Medicine and Metabolism of the Montreal General Hospital and the Department of Medicine, McGill University, Montreal.This work was done with the aid of a grant from the National Research Council, Canada. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byA patient with osteomalacia as single presenting symptom of gluten-sensitive enteropathyEntstehung und Korrektur von Störungen im Wasser-Elektrolyt- und Säuren-Basen-Haushalt bei gastrointestinalen Erkrankungen (einschließlich Leber)Gluten-Sensitive Enteropathy with Osteomalacia but without SteatorrheaNontropical sprue with secondary hyperparathyroidismThe Incidence of Malabsorption of Radiotriolein following Polya Partial Gastrectomy in Patients on a Normal DietSYMPTOMATIC OSTEOMALACIA SECONDARY TO CLINICALLY OCCULT CAUSES*RICHARD C. POWELL, M.D., WILLIAM P. DEISS JR., M.D., F.A.C.P.RARE MALABSORPTION SYNDROMES*†J. D. KABLER, M.D.The Clinical Behavior of Sprue in the United StatesEarly Manifestations of the Malabsorption SyndromeGastrointestinal malabsorptive syndromes 1 September 1952Volume 37, Issue 3Page: 553-558KeywordsCeliac diseaseChildrenDiarrheaFatsHospital medicineIron deficiencyIron deficiency anemia ePublished: 1 December 2008 Issue Published: 1 September 1952 PDF downloadLoading ...