Patients with Chronic Diarrhea
Por:
Ballinger A.B., Cevallos A.M., Clark M.L., Cottone M., Aiala R., di Mitri R., Eisenberg L., Donowitz M., Kokke F., Saidi R.
Publicada:
1 ene 1995
Resumen:
To the Editor: In the review article by Donowitz et al. (March 16 issue),1 there is no mention of measuring serum or red-cell folate, serum B12, or autoantibodies in the evaluation of patients with chronic diarrhea. These tests are readily available and inexpensive, and the presence of a low concentration of red-cell folate or antiendomysial or antireticulin antibodies would alert the investigator to the possibility of celiac disease at an early stage. Folate deficiency is almost invariably present in patients with untreated celiac disease, and antiendomysial antibodies are present in 90 to 100 percent of them.2,3 Furthermore,. © 1995, Massachusetts Medical Society. All rights reserved.
Filiaciones:
Ballinger A.B.:
Medical College of St. Bartholomew's Hospital, London EC1M 6BQ, United Kingdom
Cevallos A.M.:
Medical College of St. Bartholomew's Hospital, London EC1M 6BQ, United Kingdom
Clark M.L.:
Medical College of St. Bartholomew's Hospital, London EC1M 6BQ, United Kingdom
Cottone M.:
Ospedale V. Cervello, 90146 Palermo, Italy
Aiala R.:
Ospedale V. Cervello, 90146 Palermo, Italy
di Mitri R.:
Ospedale V. Cervello, 90146 Palermo, Italy
Eisenberg L.:
18372 Clark St., Tarzana, CA 91356, United States
Donowitz M.:
Johns Hopkins University School of Medicine, Baltimore, MD 21205, United States
Kokke F.:
Johns Hopkins University School of Medicine, Baltimore, MD 21205, United States
Saidi R.:
Johns Hopkins University School of Medicine, Baltimore, MD 21205, United States
|