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Tropical sprue
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==Signs and symptoms== The illness usually starts with an attack of acute [[diarrhoea]], [[fever]] and [[malaise]] following which, after a variable period, the patient settles into the chronic phase of diarrhoea, [[steatorrhoea]], [[weight loss]], [[anorexia (symptom)|anorexia]], malaise, and nutritional deficiencies.<ref name="Wanke2015" /><ref name="pmid17148698"/><ref name="pmid22633998"/> The symptoms of tropical sprue are: * Diarrhoea * Steatorrhoea or fatty stool (often foul-smelling and whitish in colour) * [[Indigestion]] * [[Cramps]] * [[Weight loss]] and [[malnutrition]] * [[Fatigue (physical)|Fatigue]] Left untreated, nutrient and [[vitamin deficiency|vitamin deficiencies]] may develop in patients with tropical sprue.<ref name="Wanke2015" /><ref name="pmid17148698"/> These deficiencies may have these symptoms: * [[Vitamin A]] deficiency: [[hyperkeratosis]] or skin scales * [[Vitamin B12|Vitamin B<sub>12</sub>]] and [[folic acid]] deficiencies: [[anaemia]], [[numbness]], and [[tingling sensation]] * [[Vitamin D]] and [[calcium]] deficiencies: [[spasm]], [[bone pain]], muscle weakness * [[Vitamin K]] deficiency: [[bruises]]
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