Enterocolic lymphocytic phlebitis is a rare lymphocytic vasculitis afflicting the gastrointestinal veins without involving the arterial system. Lymphocytic colitis is a more common pathology described as lymphocytic inflammation of the colonic epithelium. Concurrence of both these pathologies is extremely rare. We describe a 53-year-old man presenting with chronic watery diarrhea, abdominal pain, and weight loss. Colonoscopic examination revealed normal-appearing mucosa, but biopsy findings revealed lymphocytic colitis with coexisting enterocolic lymphocytic phlebitis. The patient was started on oral budesonide and responded to the treatment with symptomatic and histopathological resolution.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11210962PMC
http://dx.doi.org/10.14309/crj.0000000000001409DOI Listing

Publication Analysis

Top Keywords

lymphocytic colitis
12
enterocolic lymphocytic
12
lymphocytic phlebitis
12
lymphocytic
8
colitis enterocolic
4
phlebitis enterocolic
4
phlebitis rare
4
rare lymphocytic
4
lymphocytic vasculitis
4
vasculitis afflicting
4

Similar Publications

The association between primary sclerosing cholangitis (PSC) and microscopic colitis (MC) has been explored in limited studies, suggesting potential shared pathophysiological mechanisms. This systematic review aimed to investigate this relationship by analyzing studies identified through comprehensive searches in PubMed, Embase, and the Cochrane Library. Two studies met the inclusion criteria: a case series of 12 patients and a case report, collectively analyzing 13 cases.

View Article and Find Full Text PDF

Background: Microscopic colitis (MC) is a chronic inflammatory condition of the colon, primarily characterized by watery diarrhea, with normal or near-normal endoscopic findings. It encompasses two main subtypes: lymphocytic colitis and collagenous colitis.

Objective: This position paper from the Brazilian Federation of Gastroenterology aims to review current evidence on the diagnosis and management of MC in Brazil, emphasizing the need for standardization across the country's healthcare systems.

View Article and Find Full Text PDF
Article Synopsis
  • Microscopic colitis (MC) is a significant but often overlooked cause of chronic diarrhea, especially when colonoscopy results appear normal, prompting the need for more thorough diagnostic methods.
  • A study involving 116 patients showed that 32.8% were diagnosed with MC, with lymphocytic colitis being more prevalent, and elevated inflammatory markers like fecal calprotectin, ESR, and CRP were linked to MC.
  • Symptoms such as nocturnal diarrhea and abdominal pain were strongly associated with MC, and specific cutoff values for inflammatory markers demonstrated high accuracy for diagnosis, indicating the necessity for further exploration and validation in future research.
View Article and Find Full Text PDF

Background: Microscopic colitis is a relatively new diagnosis that was first described in the 1980s. Patients usually present with chronic watery and non-bloody diarrhea and are typically characterized by an unremarkable gross appearance of the colon on lower endoscopy while having evidence of lymphocytic infiltration of the lamina propria and the epithelium on histology. Two subtypes have been described in the literature: Collagenous colitis, with marked thickening of the subepithelial layer, and Lymphocytic colitis.

View Article and Find Full Text PDF
Article Synopsis
  • The paper aims to increase awareness of microscopic colitis (MC), a chronic inflammatory bowel disease, focusing on its recognition, risk factors, diagnosis, management, and complications.
  • MC is characterized by nonspecific symptoms like watery diarrhea, which makes diagnosis challenging, and the average onset age is around 62-65 years, with women being more affected.
  • Risk factors for MC include lifestyle factors like smoking and alcohol consumption, various medications, and other health conditions; treatment typically involves budesonide or other therapies tailored to individual cases.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!