Whipple’s disease

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Intestinal lipodystrophy

• Abdominal pain
• Fatty stools
• Fever
• Diarrhea
• Weight loss
• Gastrointestinal bleeding
• Enlarged lymph glands
• Joint pain
• Edema
• Gray to brown skin coloration
• Mental status changes
• Memory loss

Primary tests:

• Small bowel biopsy showing infection-fighting cells containing bacteria (other body parts can also be biopsied)
• Complete blood count (CBC) showing anemia

• Fecal fat
• D-xylose absorption
• Albumin

Review Date: 12/19/2006
Reviewed By: D. Scott Smith, M.D., MSc, DTM&H, Chief of Infectious Disease & Geographic Medicine, Kaiser Redwood City, CA & Adjunct Assistant Professor, Stanford University. Review provided by VeriMed Healthcare Network.