Differential diagnosis of ulcerative colitis with increased diarrhea; collagenous colitis or irritable bowel syndrome? A case report

A 50-year-old man with a 20-year history of left-sided ulcerative colitis (UC) presented to our hospital with sudden onset of watery diarrhea. To this point, he had been treated with mesalazine 2.0 g/day for UC and had maintained remission. We considered that the UC had worsened. We immediately perf...

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Autores principales: Haraikawa, Mayuko, Shibuya, Tomoyoshi, Kurosawa, Taro, Ito, Kentaro, Nomura, Kei, Haga, Keiichi, Nomura, Osamu, Takeda, Tsutomu, Fukushima, Hirofumi, Murakami, Takashi, Ishikawa, Dai, Hojo, Mariko, Yao, Takashi, Nagahara, Akihito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9732797/
https://www.ncbi.nlm.nih.gov/pubmed/36474409
http://dx.doi.org/10.1177/03000605221140686
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author Haraikawa, Mayuko
Shibuya, Tomoyoshi
Kurosawa, Taro
Ito, Kentaro
Nomura, Kei
Haga, Keiichi
Nomura, Osamu
Takeda, Tsutomu
Fukushima, Hirofumi
Murakami, Takashi
Ishikawa, Dai
Hojo, Mariko
Yao, Takashi
Nagahara, Akihito
author_facet Haraikawa, Mayuko
Shibuya, Tomoyoshi
Kurosawa, Taro
Ito, Kentaro
Nomura, Kei
Haga, Keiichi
Nomura, Osamu
Takeda, Tsutomu
Fukushima, Hirofumi
Murakami, Takashi
Ishikawa, Dai
Hojo, Mariko
Yao, Takashi
Nagahara, Akihito
author_sort Haraikawa, Mayuko
collection PubMed
description A 50-year-old man with a 20-year history of left-sided ulcerative colitis (UC) presented to our hospital with sudden onset of watery diarrhea. To this point, he had been treated with mesalazine 2.0 g/day for UC and had maintained remission. We considered that the UC had worsened. We immediately performed surveillance colonoscopy, which revealed a normal mucous membrane. The results of blood laboratory examinations were normal. Histopathology of colonic biopsies revealed new-onset collagenous colitis (CC), with a thickened subepithelial collagen band (SECB) and inactive UC. We herein report the importance of random colonic biopsies to diagnose CC even when the endoscopic appearance of the colon is normal in patients with inflammatory bowel disease with worsened diarrhea.
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spelling pubmed-97327972022-12-10 Differential diagnosis of ulcerative colitis with increased diarrhea; collagenous colitis or irritable bowel syndrome? A case report Haraikawa, Mayuko Shibuya, Tomoyoshi Kurosawa, Taro Ito, Kentaro Nomura, Kei Haga, Keiichi Nomura, Osamu Takeda, Tsutomu Fukushima, Hirofumi Murakami, Takashi Ishikawa, Dai Hojo, Mariko Yao, Takashi Nagahara, Akihito J Int Med Res Case Reports A 50-year-old man with a 20-year history of left-sided ulcerative colitis (UC) presented to our hospital with sudden onset of watery diarrhea. To this point, he had been treated with mesalazine 2.0 g/day for UC and had maintained remission. We considered that the UC had worsened. We immediately performed surveillance colonoscopy, which revealed a normal mucous membrane. The results of blood laboratory examinations were normal. Histopathology of colonic biopsies revealed new-onset collagenous colitis (CC), with a thickened subepithelial collagen band (SECB) and inactive UC. We herein report the importance of random colonic biopsies to diagnose CC even when the endoscopic appearance of the colon is normal in patients with inflammatory bowel disease with worsened diarrhea. SAGE Publications 2022-12-06 /pmc/articles/PMC9732797/ /pubmed/36474409 http://dx.doi.org/10.1177/03000605221140686 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Reports
Haraikawa, Mayuko
Shibuya, Tomoyoshi
Kurosawa, Taro
Ito, Kentaro
Nomura, Kei
Haga, Keiichi
Nomura, Osamu
Takeda, Tsutomu
Fukushima, Hirofumi
Murakami, Takashi
Ishikawa, Dai
Hojo, Mariko
Yao, Takashi
Nagahara, Akihito
Differential diagnosis of ulcerative colitis with increased diarrhea; collagenous colitis or irritable bowel syndrome? A case report
title Differential diagnosis of ulcerative colitis with increased diarrhea; collagenous colitis or irritable bowel syndrome? A case report
title_full Differential diagnosis of ulcerative colitis with increased diarrhea; collagenous colitis or irritable bowel syndrome? A case report
title_fullStr Differential diagnosis of ulcerative colitis with increased diarrhea; collagenous colitis or irritable bowel syndrome? A case report
title_full_unstemmed Differential diagnosis of ulcerative colitis with increased diarrhea; collagenous colitis or irritable bowel syndrome? A case report
title_short Differential diagnosis of ulcerative colitis with increased diarrhea; collagenous colitis or irritable bowel syndrome? A case report
title_sort differential diagnosis of ulcerative colitis with increased diarrhea; collagenous colitis or irritable bowel syndrome? a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9732797/
https://www.ncbi.nlm.nih.gov/pubmed/36474409
http://dx.doi.org/10.1177/03000605221140686
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