35) Other drugs associated with microscopic colitis
include an ever increasing list of drugs, like H2 receptor antagonists (ranitidine, cimetidine), ticlopidine, NSAIDs (reportedly associated with collagenous colitis), Cyclo 3 Fort (used to treat chronic venous insufficiency), (36) simvastatine, carbamazepine, flutamide, paroxetine, penicillin, and selective serotonin reuptake inhibitors like sertraline.
The patient described here was compliant with the diet, and diagnostic testing revealed no evidence of lactose intolerance, microscopic colitis
, small bowel bacterial overgrowth, ulcerative jejunitis, or lymphoma.
Other etiologies included malabsorption (35% and 28%), microscopic colitis
(15% and 9%), inflammatory bowel disease (16% and 10%), and celiac sprue (0% and 3%).
This assessment is a significant step forward, as it correlates a patient's symptoms with the physicians' understanding of the severity of microscopic colitis
24) Of note, IBD patients may display features of microscopic colitis
at the onset of the disease or during the follow-up (Figure 2, C).
If a patient has diarrhea-predominant IBS and undergoes colonoscopy, then it is reasonable to consider taking random biopsies to exclude microscopic colitis
," said Dr.
Expert consensus says that all chronic diarrhea patients with normal endoscopic findings should have the colon biopsied to look for microscopic colitis
The near-normal spectrum of changes evokes microscopic colitis
(MC) and other related entities.