In a recent paper1 I reported 6 cases of so-called idiopathic steatorrhea, including roentgen examinations. The diagnosis of this symptom complex, which includes nontropical sprue, intestinal infantilism and celiac disease, was based on the following considerations: (1) Steatorrhea was demonstrated in each instance; (2) in the few cases in which the fat partition in the stools was determined, it was normal; (3) examination of the duodenal ferments in 1 case gave normal values; (4) in no instance up to the time of publication of the paper was there any clinical evidence of pancreatic involvement. In addition, in the 6 cases there were other clinical features generally assumed to accompany idiopathic steatorrhea, namely, anemia, flat blood sugar curve, tetany and low serum calcium. However, not all of these features were present in all the cases, nor were the features always constant in the same case.
Roentgenologically, there were noted changes
KANTOR JL. FURTHER EXPERIENCE WITH THE ROENTGEN DIAGNOSIS OF IDIOPATHIC STEATORRHEAREPORT OF CASES, INCLUDING POSTMORTEM OBSERVATIONS IN ONE CASE. Arch Intern Med (Chic). 1940;65(5):988–1002. doi:10.1001/archinte.1940.00190110117008