Collagenous enterocolitis represents a diffuse manifestation of gluten sensitivity. - GreenMedInfo Summary
Collagenous enterocolitis: a manifestation of gluten-sensitive enteropathy.
J Clin Gastroenterol. 1992 Jul ;15(1):45-51. PMID: 1500661
Department of Internal Medicine, University of Nebraska Medical Center, Omaha 68198-2000.
We report coexistent collagenous colitis and collagenous sprue in a 62-year-old woman with diarrhea. Investigations suggested malabsorption, and small intestinal biopsies demonstrated a flattened mucosa with subepithelial collagen deposition. Colonic biopsies also showed a thickened subepithelial collagen band as well as a striking lamina propria inflammatory cell infiltrate. Symptomatic remission was induced with a gluten/lactose-free diet, oral prednisone, and sulfasalazine and has been maintained with gluten restriction alone. Repeat biopsies after 2 months demonstrated restoration of normal small intestinal and colonic collagen bands; only a chronic inflammatory cell infiltrate (consistent with microscopic/lymphocytic colitis) persisted in colonic biopsies. We propose that, in this instance, collagenous enterocolitis represented a diffuse manifestation of gluten sensitivity.