HIV-enteropathy and bile acid malabsorption: response to cholestyramine

Am J Gastroenterol. 1995 Nov;90(11):2051-3.

Abstract

Chronic diarrhea and weight loss are common in patients with AIDS. We report on an AIDS patient with chronic diarrhea, steatorrhea, and marked weight loss. A 75SeHCAT test demonstrated that the diarrhea was mainly due to bile acid malabsorption. Therapy with cholestyramine dramatically reduced bowel movements and led to significant reversal of weight loss.

Publication types

  • Case Reports

MeSH terms

  • AIDS-Related Opportunistic Infections / diagnosis
  • Adult
  • Bile Acids and Salts / metabolism*
  • Cholestyramine Resin / therapeutic use*
  • HIV Enteropathy / complications
  • HIV Enteropathy / drug therapy*
  • HIV Enteropathy / metabolism
  • Humans
  • Malabsorption Syndromes / complications
  • Malabsorption Syndromes / diagnosis
  • Malabsorption Syndromes / drug therapy*
  • Malabsorption Syndromes / metabolism
  • Male
  • Selenium Radioisotopes
  • Taurocholic Acid / analogs & derivatives

Substances

  • Bile Acids and Salts
  • Selenium Radioisotopes
  • Cholestyramine Resin
  • Taurocholic Acid
  • 23-seleno-25-homotaurocholic acid