Symptomatic Microscopic Colitis Atop Quiescent Inflammatory Bowel Disease: A Case Series
Author(s) -
Bryant Megna,
Sumona Saha,
Arnold Wald,
Rashmi Agni,
Kristina A. Matkowskyj,
Freddy Caldera
Publication year - 2017
Publication title -
acg case reports journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.112
H-Index - 4
ISSN - 2326-3253
DOI - 10.14309/crj.2017.124
Subject(s) - medicine , inflammatory bowel disease , diarrhea , microscopic colitis , exacerbation , asymptomatic , colitis , gastroenterology , colonoscopy , differential diagnosis , disease , lymphocytic colitis , collagenous colitis , pathology , colorectal cancer , cancer
Microscopic colitis (MC) has rarely been described to be the cause of watery diarrhea in those with established inflammatory bowel disease (IBD), and instead has been presented as a herald syndrome to eventual IBD or incidentally found in asymptomatic IBD patients. We report a case series of 7 patients with IBD who presented with a watery diarrheal exacerbation due to new-onset MC. We propose that new-onset MC should be considered in the differential diagnosis of watery diarrhea occurring in patients with long-standing IBD and that evaluation should include colonoscopy with biopsies obtained throughout the colon.
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