Intestinal lipodystrophy (a steatorrhea idiopathic) - a rare general disease with a primary lesion of a small bowel and disturbance of an absorption of Adepses. Meets mainly at men of an average and advanced age. The originator of disease - bacilli Tropheryma Whippelli. The basic signs are persistent diarrhea (till 5-15 once a day), the general attrition, an abdominal pain, arthralgias. A feces plentiful, light, foamy, sometimes original "chyle". Displays of an albuminous failure, a hypovitaminosis accrue, etc. the subfebrile fever Is possible. Peripheric lymph nodes are enlarged, dense, but painless.

A stomach distended, soft, in some cases at a palpation it is possible to define focal inspissation at a place of an attachment of a mesentery of the small bowel, formed by a conglomerate of the enlarged lymph nodes. The lesion of heart (an endocarditis, a myocarditis, a pericarditis), organs of respiration (a chronic tracheobronchitis, a pleuritis, a pneumonitis), the central nervous system (a headache, a dementia, epileptic attacks, an ophthalmoplegia, hearing disorder, visions, etc.), kidneys (an intersticial nephritis) is possible. In a blood are defined the moderate leukocytosis (in some cases an eosinophilia), a hypoproteinemia, a hypochilesterinemia, a hypocalcemia. As a characteristic attribute revealing serves in excrements of a sick plenty of neutral Adeps, crystals of fat acids, undigested muscular fibers.