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About 10,000 papers for “Colitis”

Colitis eosinofílica Eosinophilic colitis

David Martínez Pérez, Miguel A Yanes Quesada, Julieta Sánchez Ruiz et al. · SHILAP Revista de lepidopterología · 2012

La gastroenteritis eosinofílica es una enfermedad rara que se caracteriza por la presencia de eosinofilia hística que afecta diferentes capas de la pared intestinal por lo que desde el punto de vista histológico se clasifica en mucosa, muscular o serosa, según la capa de la pared intestinal en la que predomine el infiltrado. Puede localizarse en cualquier porción del tubo digestivo, pero excepcionalmente en el colon. Se presentó un caso de colitis eosinofílica en un paciente de 26 años de edad con síndrome diarreico crónico. Se exponen datos clínicos y estudios patológicos. Se revisó el tema.<br>The eosinophilic gastroenteritis is a rare disease characterized by presence of histic eosinophilia involving different layers of the intestinal wall classified from the histological point of view in mucosa, muscular or serous, according to the layer of the intestinal wall with predominance of infiltrate. It may be located in any portion of the digestive tract, but exceptionally in the colon. This the case of eosinophilic colitis in a patient aged 26 with chronic diarrheic syndrome. Clinical data and pathologic studies results are showed. This matter was reviewed.

Cited by 0Open access

Colitis y falsas colitis

Gallart Monés, Francisco, 1880-1960, Gallart-Esquerdo, Antonio · Biblioteca Digital (Real Academia Nacional de Medicina) · 1940

Cited by 0

Noninfectious Colitides: Collagenous Colitis, Lymphocytic Colitis, Diversion Colitis, and Chemically Induced Colitis

Amy J. Thorsen · Clinics in Colon and Rectal Surgery · 2007

Approximately 10% of patients with chronic diarrhea carry a diagnosis of microscopic colitis. The endoscopic appearance of both collagenous colitis and lymphocytic colitis may be normal; however, biopsies confirm the diagnosis. Available treatments include antidiarrheals, bismuth salicylate, and budesonide. Although most patients with fecal diversion may have endoscopic evidence of colitis, a much smaller percentage of patients are symptomatic. Some cases of diversion colitis respond to treatment with short-chain fatty acid enemas; however, return of the fecal stream is the most successful therapy. A variety of oral, intravenous, and per rectum chemicals may cause colitis; symptoms usually abate when chemical exposure is discontinued.

Cited by 21Open access

ACUTE COLITIS AND ULCERATIVE COLITIS

S. Phillips · BMJ · 1907

ACUTE COLITIS AND ULCERATIVE COLITIS.[ o ¶ I355 intensity of the neuritis forms no accurate guide to a knowledge of the nature or the size of the new growth, and its usefulness in localization is comparatively small.The condition known as albuminuric retinitis is of mcr.value in prognosis than from a diagnostic point of view, and this on account of two things: (1) The same clinical picture is sometimes present without the kidneys being affected, and (2) when it is present in renal disease there are usually other evidences of this affection.As regards life-prognosis, however, the detection of albuminuric retinitis is most important.Amongst the poorer classes this retinal complication means that the end of life is drawing very near, and comparatively few suivive more than a year.Among the well to do, where every care in diet, clothing, and attention to general hygiene can be exercised, the prognosis is not so bad, but even among these the probability of life does not exceed eighteen months to two years.The only exceptions to this unfavourable prognosis are when the retinitis accom- panies acute nephritis, such as the post scarlatinal, or when it occurs in connexion with the albuminuria of pregnancy.There is one other ophthalmoscopic change which I must mention, and its significance must be recognized more and more as the importance of the early detection and proper treatment of general arterio-sclerosis is accepted by our profession.In the retina we have the unique privilege of being able to observe with care and accuracy these minute arteries which are so often the first to tell the tale of vascular degeneration, and the succes- sive alterations in retinal vessels have now been followed and described with sufficient detail to enable us, in any given case, to give a shrewd guess concerning the stage at which the degeneration has arrived.That by this means we can predicate with an approach to certainty the con- dition of small arteries in other more vitally important tissues is no longer in dispute, and it is by this observation that we are often first able to diagnose granular kidney disease, and, at one late stage of the retinal arterial change, to anticipate with more than mere proba- bility the imminence of grave evidences of cerebral varcalar disease.I have purposely given no verbal description of these ophthalmoscopic changes, for I feel strongly that such details by themselves are apt to be misleading, and at best fall far short of the actual pictures presented by the disea ;es in -question.It is to instances of the affections mentioned that I would refer you, and I can assure you they are not uncommon.It may be, Gentlemen, that I have appeared to you in these remarks to have unduly magnified the Importance of one special branch of your work.I know that you have many points to think of and many facts to bear constantly in mind.My aim has bpen, not to add to these, but to present for your consideration a few clinical lessons gleaned from ophthalmology which may be of some ser- vice to you, and, if you think well of them, to induce you to take alvantage of the opportunities this ophthalmic department will undoubtedly afford.FOREIGN STUDENTS IN GERMAN UNIVERSITIES.-Thenumber of matriculated foreign students on the books of the universities of Germany during the last winter semester was 4,151, being 9.2 per cent. of the total number of students.These foreign students were distributed among the several universities as follows: Heidelberg, 1.189 (16.1 per cent.);Leipzig, 662 (14.8 per cent.):Jena, 186 (14.6 per cent.);Berlin, 1,189 (14.5 per cent.);134 (11.8 per cent.);Halle, 254 (11.3 per cent.);Freibure. 164(9.4 rner cent.) ; Gottingen, 160 (9.2 per cent.);Munich, 4'6 (8.9 p3r cent.);Giessen, 84 (7.7 per cent.);Strassburg. 96(5.8 per cent.) ; Greifswald, 43 (5.2 per cent.);Wtlrzburg, 67 (4.7 per cent.);Marburg, 60 (3.9 per cent.);TQbingen, 59 (3.9 per cent.);Breslau. 77(3.9 per cent.);Bjnn, 88 (2 9 per cent.);Erlangen, 28 (2.6 per eent.);Rostook, 13 (2 per cent.);Kiel, 11 (1.4 per cent.);Munster, 11 (0.7 per cent.).Of the foreigners, 1890 were from Russia.681 from Austria-Hungary, 341 from Switzerland, 144 from Great Britain, 139 from Bulgaria, 83 from Roumania, 61 from Servia, 58 from :France, 57 from Holland, 53 from Lu-emburg, 47 from Greece, 40 from Turkey, 33 from Italy, 32 from Swveden and Norway, 23 from Spain, 19 from Belgium, 9 from Portugal, 5 from Denmark, 1 from Montenegro.In addition to these America sent 302 students, Asia 113, Africa 13, and Australia 11. ACUTE COLITIS AND ULCERATIVE COLITIS.

Cited by 0Open access

PSEUDOMEMBRANOUS COLITIS COMPLICATING ULCERATIVE COLITIS

Hideto Kawaratani, Tatsuhiro Tsujimoto, Masahisa Toyohara et al. · Digestive Endoscopy · 2010

Clostridium difficile toxin (CD toxin) causes antibiotic-associated colitis, or pseudomembranous colitis (PMC). Although CD toxin is sometimes found in the stools of patients with ulcerative colitis (UC), UC is rarely complicated by PMC. We report herein a case of PMC complicating UC, and present a review of the literature. A 71-year-old woman was diagnosed as having UC of the left colon, and treated with prednisolone and mesalazine. Later, however, lumbar spinal stenosis was also detected. After surgery for lumbar spinal stenosis, she suffered postoperative infection of the lumbar region. After 3-week treatment with antibiotics, she developed diarrhea, bloody stools, and abdominal pain. Colonoscopy revealed PMC of the cecum, ascending colon, sigmoid colon, and rectum. Stools were positive for CD toxin. As cefotiam hydrochloride, levofloxacin hydrate (LVFX), and prednisolone were suspected as the causative agents, she was treated with 1.5 g vancomycin (VCM) daily for 2 weeks without ceasing LVFX. Her symptoms improved, and colonoscopy confirmed resolution of PMC. The possibility of PMC should be considered in UC patients treated with antibiotics, immunosuppressive agents or corticosteroids who complain of gastrointestinal symptoms. These patients should be thoroughly investigated by several modalities, including colonoscopy and CD toxin testing.

Cited by 6Open access

Collagenous Colitis and Lymphocytic Colitis

William J. Tremaine · Journal of Clinical Gastroenterology · 2000

The most recently recognized and least understood forms of inflammatory bowel disease are two types of idiopathic microscopic colitis-collagenous colitis and lymphocytic colitis. These disorders share many clinical and histologic features, but they have a few notable differences. Whether these are two distinct entities or different presentations of the same disease remains controversial. Bismuth subsalicylate is effective in some patients and treatment is symptomatic and empirical in others. Unlike ulcerative colitis and Crohn's disease, these forms of inflammatory bowel disease rarely require surgery. Ileostomy with or without colectomy is curative for the rare patient with severe symptoms that are refractory to medical measures. Collagenous and lymphocytic colitis are not associated with an increased risk of malignancy.

Cited by 58

Lymphocytic Colitis and Collagenous Colitis

Dipti Mahajan, John R. Goldblum, Shu‐Yuan Xiao et al. · Advances in Anatomic Pathology · 2011

Lymphocytic colitis (LC) and collagenous colitis (CC), 2 histologic forms of microscopic colitis, were recognized as rare disease entities 4 decades ago. An increasing body of evidence accumulated in the past 40 years reveals increasing incidence and prevalence rates, a wide spectrum of clinical presentations, and several histologic variants. Although several recent randomized clinical trials confirmed the efficacy of oral budesonide in treating LC and CC, disease relapse after a short-duration treatment is common. Despite their common clinical presentations and well-defined histologic diagnostic criteria, there are only few studies on the immunologic abnormalities in colonic tissue. The aim of this review is to (1) familiarize the pathologists in general practice with histomorphology of LC and CC, including the rare histologic variants and the clinical implication associated with these 2 diagnoses, (2) summarize the data from recent randomized clinical trials of oral budesonide, and (3) review immunological studies on colonic tissue. Overall, immunologic abnormalities of colonic tissue seem to explain for the histomorphologic features and the clinical symptomatology of LC and CC. Advances in the understanding of the underlying immunologic abnormalities in the colonic tissue may help develop novel and effective therapies for these 2 diseases.

Cited by 74

Colitis evolving into ulcerative colitis

Carlo Calabrese, A Fabbri, G di Febo · Gut · 2005

We observed the development of ulcerative colitis (UC) in a 37 year old young woman with clinical and histological features of lymphocytic colitis (LC) after a period of six years. Seven years ago, the patient was admitted to our gastroenterology unit complaining of watery diarrhoea (⩾6 stools/day). She had never smoked and she was not taking any drugs affecting gastrointestinal secretion or motility. Laboratory tests, including autoimmune antibody and upper endoscopy, were normal. Parasitological and bacteriological faecal stools were negative. Biopsies of the jejunum did not show a pattern of coeliac disease. Colonoscopy with terminal …

Cited by 4Open access

Macroscopic Colitis in Microscopic Colitis

Yan Zhao, Yanling Ma, Pabby Vikas et al. · The American Journal of Gastroenterology · 2008

Purpose: Microscopic colitis (MC) is a diagnosis based on specific histologic criteria in patients without gross colonic lesions. However, macroscopic mucosal lesions rarely have been reported with MC. We evaluated the association between endoscopic abnormalities and MC and compared the clinical characteristics and outcomes in MC patients with and without endoscopic ulcers/erosions. Methods: Pathology reports from 6/01–2/05 were searched for the cases of MC. The histologic diagnosis was then re-confirmed by a GI pathologist. Demographic, clinical, and laboratory data were collected. The conventional diagnostic criteria of microscopic colitis were used: >6 lymphocytes/100 epithelial cells; increased number of lymphocytes, plasma cells, eosinophils, and mast cells in the lamina propria; no features of ischemia or idiopathic inflammatory bowel disease. A subepithelial collagen band >10 mm differentiated collagenous colitis from lymphocytic colitis. Results: Sixteen patients with microscopic colitis were identified: ages were 37–87 years and 12 were female. Lymphocytic colitis (LC) was found in 9 patients, collagenous colitis (CC) in 7. Three patients had endoscopic ulcers (N = 2) and/or erosions (N = 1), one with LC, two with CC. Pseudomembranes were observed histologically in two patients with CC. Patients with ulcer/erosions were more likely to have more frequent stools, volume depletion, and weight loss (Table 1). Two of three patients denied history of NSAIDs prior to illness, and none tested positive for C. difficile. All three patients responded to treatment (budesonide or 5-ASA) and remained symptom-free for 14–50 month follow-up. One of the three patients had repeat biopsy 2 months and 1 year after treatment, which showed disappearance of pseudomembrane first followed by disappearance of the features of collangenous colitis.Table 1: Characteristics of Patients with and without ulcers/erosionsConclusion: Macroscopic lesions may co-exist with microscopic colitis—possibly representing a severe form of the disease. Macroscopic lesions do not appear to predict a poor clinical outcome in patients with microscopic colitis.

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