Collagenous colitis with mucosal ulcerations in a patient without nonsteroidal anti-inflammatory drug or lansoprazole use

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Collagenous colitis with mucosal ulcerations in a patient without nonsteroidal anti-inflammatory drug or lansoprazole use (EN)

Johnson, Cassandra; University of South Florida; Tampa, FL, USA
Nakshabendi, Rahman; University of Florida College of Medicine-Jacksonville; Jacksonville, FL, USA
Dholaria, Kevin; University of Miami Miller School of Medicine; Miami, FL, USA
Baltz, Aaron C.; GI Associates; Wauwatosa, WI, USA
Abidali, Hussein; Banner Good Samaritan Medical Center; Phoenix, AZ, USA
Avalos, Danny J.; University of Miami Miller School of Medicine: Palm Beach Regional Campus; Atlantis, FL, USA
Berry, Andrew C.; Kansas City University of Medicine and Biosciences (KCUMB); Kansas City, MO, USA

None (EN)

Chronic watery diarrhea combined with normal-appearing colonic mucosa at endoscopy with abnormal histopathology is classified as microscopic colitis. Microscopic colitis encompasses both collagenous and lymphocytic colitis. A 42-year-old Caucasian woman presented with severe diarrhea for six weeks with loose watery stools every 1-2 h, approximately 15 episodes per day. She denied any melena or significant abdominal pain. She denied nonsteroidal anti-inflammatory drug or lansoprazole use, and was only taking diphenoxylate/atropine for her symptoms. Colonoscopy revealed superficial ulcerations in the distal ascending and transverse colon and scattered ulcerations in the descending and sigmoid colon, with biopsy confirming collagenous colitis. We report a rare case of collagenous colitis accompanied by mucosal ulcerations in the absence of known culprits of mucosal ulcerations, such as nonsteroidal anti-inflammatory drugs or lansoprazole.Keywords Diarrhea, colonoscopy, colitisAnn Gastroenterol 2015; 28 (3): 408-409 (EN)

Ελληνική Γαστροεντερολογική Εταιρία (EL)
Hellenic Gastroenterologiki Company (EN)

2015-06-15


Annals of Gastroenterology (EN)

Annals of Gastroenterology; Volume 28, No 3 (2015); 410 (EN)



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