Fekih Monia, Ben Hriz Fethia, Sassi Amel, Matri Samira, Filali Azza, Boubaker Jalel
Service de Gastro-entérologie A. Hôpital la Rabtu, Tunis.
Tunis Med. 2006 Jul;84(7):403-6.
Microscopic colitis are defined as a chronic inflammation of a normal macroscopic colonic mucosa. We report 20 cases of microscopic colitis. Chronic diarrhea revealed the diagnosis in 95% of cases. Endoscopic examination was normal in 95% of patients. We diagnosed collagenous colitis in 65% of cases and lymphocytic colitis in 35% of cases. The treatment was based on sulphasalazine in 16 patients, on 5 aminosalicylic acid in 1 case, on gluten free diet in 2 cases and a symptomatic treatment was prescribed to one patient. A clinical remission was observed in 41.2% of patients taking sulphasalazine.
显微镜下结肠炎被定义为正常肉眼可见的结肠黏膜的慢性炎症。我们报告了20例显微镜下结肠炎病例。95%的病例通过慢性腹泻得以确诊。95%的患者内镜检查正常。我们诊断出65%的病例为胶原性结肠炎,35%的病例为淋巴细胞性结肠炎。16例患者的治疗基于柳氮磺胺吡啶,1例基于5-氨基水杨酸,2例基于无麸质饮食,对1例患者进行了对症治疗。服用柳氮磺胺吡啶的患者中有41.2%观察到临床缓解。