Rees PH, Gatei DG, de Cock KM, Tosswill J. Some preliminary observations on the investigation of splenomegaly in Kenya. East Afr Med J. 1982 Oct;59(10):658-64. No abstract available.

Citation:
G PROFGATEIDAVID. "Rees PH, Gatei DG, de Cock KM, Tosswill J. Some preliminary observations on the investigation of splenomegaly in Kenya. East Afr Med J. 1982 Oct;59(10):658-64. No abstract available.". In: East Afr Med J. 1982 Oct;59(10):658-64. No abstract available. RIVERBRROKS COMMUNICATIONS; 1982.

Abstract:

Small-intestinal function was studied in 10 patients with visceral leishmaniasis. Vitamin-A absorption was impaired in 7 and d-xylose in 1. In 5 of the 10 patients Leishmania were demonstrated in biopsy specimens of intestinal mucosa. Parasitised macrophages were present in villous tips and less commonly in the lamina propria and submucosa; a moderate inflammatory infiltrate was composed of lymphocytes and plasma cells. 2 patients had partial villous atrophy. There was no correlation between intensity of parasitisation and severity of malabsorption. After treatment with sodium stibogluconate there was a significant improvement in absorption of vitamin A and d-xylose, and biopsy specimens became normal. In 1 patient visceral leishmaniasis was thought to be the cause of chronic diarrhoea.

Notes:

n/a

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