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Pathognomonic Features of Olmesartan-Induced Collagenous Sprue Resulting in Severe Small Bowel Malabsorption.
Cureus
October 2024
Gastroenterology, Sutter Santa Rosa Regional Hospital, Santa Rosa, USA.
Collagenous sprue (CS) is a rare autoimmune gastrointestinal disorder characterized by specific histologic changes in the small intestine. It often presents with more severe symptoms and a worse prognosis compared to celiac disease, including significant malabsorption, weight loss, and nutrient deficiencies. Despite treatment with a gluten-free diet, symptom improvement is limited, with only a small fraction of patients responding positively.
View Article and Find Full Text PDFSuccessful Long-Term Treatment of Collagenous Sprue With Tacrolimus in a 25-Year-Old With Severe Intestinal Failure.
Inflamm Bowel Dis
July 2024
Department of Internal Medicine IV, Jena University Hospital, Am Klinikum 1, 07747 Jena, Germany.
Collagenous colitis associated with novel sprue-like intestinal diseases.
Gastroenterol Hepatol Bed Bench
January 2023
Department of Medicine (Gastroenterology), University of British Columbia, Vancouver, BC, Canada.
Almost a half-century ago, an unusual and distinct form of colitis was first recognized, collagenous colitis, characterized by sub-epithelial trichrome-positive deposits having the ultrastructural features of collagen. Later, other reports documented more extensive collagenous dis-ease in these patients, sometimes in the stomach and small bowel, a close linkage with other forms of microscopic colitis and its association with celiac and other immune-mediated diseases. Moreover, emerging genetic methods permitted large studies of collagenous colitis to complement these intriguing clinical and pathological studies.
View Article and Find Full Text PDFCollagenous sprue: a rare cause of watery diarrhea and villous atrophy - case report.
Gastroenterol Hepatol Bed Bench
January 2023
Centro Hospitalar de Entre o Douro e Vouga, Santa Maria da Feira, Portugal.
Collagenous sprue is a rare and unrecognized cause of diarrhea and weight loss, mainly affecting the duodenum and small bowel. The clinical picture often resembles that of coeliac sprue, the main differential diagnosis, albeit, being refractory to a gluten-free diet. The histological features are fundamentally characterized by the deposition of collagen beneath the basement membrane of gut mucosa.
View Article and Find Full Text PDFCollagenous Gastritis: An Atypical Presentation of a Rare Disease.
Cureus
February 2023
Division of Gastroenterology and Liver Diseases, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Collagenous gastritis is a rare inflammatory condition of unknown etiology defined histologically by subepithelial deposition of collagen bands ≥ 10 µm in the lamina propria. Adults typically present with diarrhea, often attributed to concurrent collagenous sprue or collagenous colitis. Children more commonly present with abdominal pain and anemia, with inflammation typically limited to the stomach.
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