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Microscopic colitis in patients with ulcerative colitis or Crohns disease: a retrospective observational study and review of the literature

Wickbom, Anna, 1970- (author)
Örebro universitet,Institutionen för medicinska vetenskaper,Department of Gastroenterology, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden,Orebro Univ, Sweden
Bohr, Johan (author)
Orebro Univ, Sweden,Department of Gastroenterology, Örebro University Hospital, Örebro, Sweden
Nyhlin, Nils, 1971- (author)
Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Gastroenterology, Örebro University Hospital, Örebro, Sweden,Orebro Univ, Sweden
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Eriksson, Anders (author)
East Hosp, Sweden,Department of Medicine, Emergency and Geriatrics, Sahlgrenska University Hospital East, Gothenburg, Sweden
Lapidus, Annika (author)
Ersta Hosp, Sweden,Department of Gastroenterology, Ersta Hospital, Stockholm, Sweden
Münch, Andreas, 1970- (author)
Linköpings universitet,Avdelningen för neuro- och inflammationsvetenskap,Medicinska fakulteten,Region Östergötland, Magtarmmedicinska kliniken,Department of Clinical and Experimental Medicine, Division of Gastroenterology and Hepatology, Faculty of Health Sciences, Linköping University, Linköping, Sweden
Ung, Kjell-Arne (author)
Sahlgrenska Univ Hosp Mölndal, Sweden,Department of Internal Medicine, Sahlgrenska University Hospital Mölndal, Gothenburg, Sweden
Vigren, Lina (author)
Trelleborg Hosp, Sweden,Department of Medicine, Trelleborg Hospital, Trelleborg, Sweden.
Öst, Åke (author)
Department of Pathology and Cytology, Aleris Medilab, Täby, Sweden
Tysk, Curt (author)
Orebro Univ, Sweden,Department of Gastroenterology, Örebro University Hospital, Örebro, Sweden
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 (creator_code:org_t)
2018-03-16
2018
English.
In: Scandinavian Journal of Gastroenterology. - : TAYLOR & FRANCIS LTD. - 0036-5521 .- 1502-7708. ; 53:4, s. 410-416
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Objectives: Onset of microscopic colitis (MC) in patients with ulcerative colitis (UC) or Crohns disease (CD), or vice versa, has been reported occasionally but the subject is not well described. We therefore report a retrospective observational study of such patients and review the literature.Methods: Forty-six Swedish gastroenterology clinics were contacted about patients with diagnoses of both inflammatory bowel disease (IBD) and MC. Publications were searched on PubMed.Results: We identified 31 patients with onset of MC after a median (range) of 20 (2-52) years after diagnosis of IBD, or vice versa; 21 UC patients developed collagenous colitis (CC) (n=16) or lymphocytic colitis (LC) (n=5); nine CD patients developed CC (n=5) or LC (n=4); one CC patient developed CD. Of the 21 UC patients, 18 had extensive disease, whereas no consistent phenotype occurred in CD. Literature review revealed 27 comprehensive case reports of patients with diagnoses of both IBD and MC. Thirteen MC patients developed IBD, of which four required colectomy. Fourteen IBD patients later developed MC. There were incomplete clinical data in 115 additional reported patients.Conclusions: Altogether 173 patients with occurrence of both IBD and MC were found. The most common finding in our patients was onset of CC in a patient with UC. Although these are likely random associations of two different disorders, MC should be considered in the patient with UC or CD if there is onset of chronic watery diarrhoea without endoscopic relapse of IBD.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Gastroenterologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)

Keyword

Collagenous colitis; lymphocytic colitis; microscopic colitis; ulcerative colitis; Crohns disease; inflammatory bowel disease

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