Department of Pathology, Spedali Civili, Brescia, Italy.
Rev Esp Enferm Dig. 2011 Jul;103(7):366-72. doi: 10.4321/s1130-01082011000700006.
Apart from inflammatory bowel diseases (IBD), there are several other form of colitis that may resemble macroscopically IBD, entering the differential diagnosis. These forms are represented by infectious colitis, ischemic colitis, pseudomembranous colitis, colitis related to diverticular disease, colitis related to mucosal prolapse, drug colitis, allergic colitis, and microscopic colitis. However, to distinguish between these forms is not always easy, and it frequently requires a strict interrelationship between the pathologist and the gastroenterologist. Here we discuss the more frequent forms of non- inflammatory bowel diseases colitides, trying to give useful hints for helping the clinician to better understand the extent to which the pathologist is called to give a definitive response in the differential diagnosis of these entities.
除了炎症性肠病 (IBD)，还有其他几种可能在宏观上类似于 IBD 的结肠炎形式，需要纳入鉴别诊断。这些形式包括感染性结肠炎、缺血性结肠炎、伪膜性结肠炎、与憩室病相关的结肠炎、与黏膜脱垂相关的结肠炎、药物性结肠炎、过敏性结肠炎和显微镜下结肠炎。然而，区分这些形式并不总是容易的，通常需要病理学家和胃肠病学家之间的严格相互关系。在这里，我们讨论了更常见的非炎症性肠病结肠炎形式，试图为临床医生提供有用的提示，以帮助他们更好地理解病理学家在这些疾病的鉴别诊断中需要做出明确回应的程度。
