General symptoms of the disease include the passage of foul pale-coloured stools (steatorrhea), progressive malnutrition, diarrhea, decreased appetite and weight loss, multiple vitamin deficiencies, stunting of growth, abdominal pain, skin rash, and defects in tooth enamel. Advanced disease may be characterized by anemia, osteoporosis, vision disturbances, or amenorrhea (absence of menstruation in women).