Eaves E R, Wallis P L, McIntyre R L, Korman M G
Aust N Z J Med. 1983 Dec;13(6):630-2. doi: 10.1111/j.1445-5994.1983.tb02619.x.
A case of collagenous colitis is reported in an 86 year old man who presented with watery diarrhea. This case differs from previous reports in that five of the six reported cases involved women, mostly in their mid-forties, and that previously the collagenous band has been demonstrated in the mucosa of the left side of the colon only. This case is the first report to demonstrate the collagenous band in the right side of the colon as well as the left, and is the thickest band reported to date. In keeping with the two reported cases with follow-up, the subepithelial collagenous band was shown to have disappeared three months after the initial biopsy with a corresponding clinical improvement after symptomatic treatment only. The diagnosis needs to be considered in all patients presenting with watery diarrhea, and can only be confirmed after rectal or colonic biopsy.
报告了一例86岁男性胶原性结肠炎病例，该患者表现为水样腹泻。此病例与先前报告不同之处在于，先前报告的6例病例中有5例为女性，大多为40多岁，且先前仅在结肠左侧黏膜中发现胶原带。该病例是首次报告在结肠右侧以及左侧均发现胶原带，且是迄今为止报告中最厚的胶原带。与另外两例有随访的报告病例一致，上皮下胶原带在初次活检3个月后消失，仅对症治疗后临床症状相应改善。对于所有出现水样腹泻的患者均需考虑该诊断，且只有经直肠或结肠活检后才能确诊。
