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Collagenous colitis

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Title: Collagenous colitis  
Author: World Heritage Encyclopedia
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Subject: Microscopic colitis, Colitis, Lymphocytic colitis, Inflammatory bowel disease, ICD-10 Chapter XI: Diseases of the digestive system
Collection: Colitis
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Collagenous colitis

Collagenous colitis
Micrograph of collagenous colitis. H&E stain.
Classification and external resources
DiseasesDB 2955
eMedicine med/1351
MeSH D046729

Collagenous colitis is an inflammatory bowel disease affecting the colon specifically with peak incidence in the 5th decade of life, affecting women more than men. Its clinical presentation involves watery diarrhea, usually in the absence of rectal bleeding. It is often classified under the umbrella entity microscopic colitis, along with a related condition, lymphocytic colitis.

Contents

  • Signs and symptoms 1
  • Causes 2
    • Disease associations 2.1
  • Diagnosis 3
  • Treatment 4
  • See also 5
  • References 6

Signs and symptoms

Microscopic colitis causes watery intermittent diarrhea with greater than 10 bowel movements per day. Some patients report nocturnal diarrhea, abdominal pain, vomiting, chills, severe nausea, dehydration and weight loss. Rare complications may include mucosal atrophy with long standing collagenous colitis. Colitis patients report a significantly diminished quality of life.

Causes

The exact cause of collagenous colitis is unknown.

Disease associations

An association between collagenous colitis and celiac disease has been reported, but there is no evidence that dietary restrictions used in celiac disease management are of benefit in collagenous colitis therapy. Between 20-60% of patients with collagenous colitis have been reported as having one or more autoimmune disorders including rheumatoid arthritis and thyroid disease.

There have also been reports of an association between collagenous colitis and lymphoma.

Diagnosis

On colonoscopy, the mucosa of the colon typically looks normal, but biopsies of affected tissue usually show deposition of collagen in the lamina propria, which is the area of connective tissue between colonic glands. Radiological tests, such as a barium enema are typically normal.

Treatment

Treatment of collagenous colitis is often challenging, and many agents have been used therapeutically:

Pilot investigational studies have shown some evidence of possible benefit for both Boswellia serrata extract and specific strains of probiotics in the treatment of collegenous colitis, although larger sample sizes are needed to confirm the results.[1][2][3]

See also

References

  1. ^ Madisch A, Miehlke S, Eichele O, Mrwa J, Bethke B, Kuhlisch E, Bästlein E, Wilhelms G, Morgner A, Wigginghaus B, Stolte M. (Dec 2007). "Boswellia serrata extract for the treatment of collagenous colitis. A double-blind, randomized, placebo-controlled, multicenter trial.". Int J Colorectal Dis. (22(12):2): 1445–51.  
  2. ^ Wildt S, Munck LK, Vinter-Jensen L, Hanse BF, Nordgaard-Lassen I, Christensen S, Avnstroem S, Rasmussen SN, Rumessen JJ. (May 2006). "Probiotic treatment of collagenous colitis: a randomized, double-blind, placebo-controlled trial with Lactobacillus acidophilus and Bifidobacterium animalis subsp. Lactis.". Inflamm Bowel Dis. (12(5)): 395–401.  
  3. ^ Tromm A, Niewerth U, Khoury M, Baestlein E, Wilhelms G, Schulze J, Stolte M. (May 2004). "The probiotic E. coli strain Nissle 1917 for the treatment of collagenous colitis: first results of an open-label trial.". Z Gastroenterol. (42(5)): 365–9.  

personal experience with disease

  • Chande N, Driman DK, Reynolds RP (March 2005). "Collagenous colitis and lymphocytic colitis: patient characteristics and clinical presentation". Scand. J. Gastroenterol. 40 (3): 343–7.  
  • Yen E. F., Pardi D. S. (May 2011). "Microscopic Colitis – Lymphocytic, Collagenous and ‘Mast Cell’ Colitis". Alimentary Pharmacology & Therapeutics 34 (1): 21–32.  
  • Majores Michael, Wunsch Steffen, Blume Bernd, Fischer Hans-Peter, and Reichel Christoph (October 2011). "Mucosal Atrophy in Collagenous Colitis: A Case Report" 11 (114).  
  • Milman Nataliya, Kraa Gunnar (2010). "NSAID-induced Collagenous Colitis". The Journal of Rheumatology 37 (11): 2432–243.  
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