Henley C E
Department of Family Practice, Madigan Army Medical Center, Tacoma, Washington.
J Am Board Fam Pract. 1991 Jan-Feb;4(1):55-7.
When the usual workup for chronic diarrhea fails to provide a diagnosis and the endoscopic findings are normal, alternative etiologies must be considered. This case of collagenous colitis represents such an alternative diagnosis. The patient is a 65-year-old woman who complained of abdominal cramps and watery diarrhea for an 8-month span. The key element to her diagnosis was subepithelial collagen deposits of the mucosa of the colon. Her symptoms were resolved with supportive care, diet, and diphenoxylate. Essential features and treatment of collagenous colitis are reviewed.
当针对慢性腹泻的常规检查未能得出诊断结果且内镜检查结果正常时，必须考虑其他病因。这例胶原性结肠炎就代表了这样一种可供选择的诊断。患者为一名65岁女性，她诉说在8个月的时间里一直有腹部绞痛和水样腹泻。其诊断的关键因素是结肠黏膜的上皮下胶原沉积。通过支持性护理、饮食调整和使用地芬诺酯，她的症状得到了缓解。本文对胶原性结肠炎的基本特征和治疗方法进行了综述。
