만성 설사와 저칼륨혈증으로 발현된 교원성 대장염 1예
A case of collagenous colitis presented with chronic diarrhea and hypokalemia
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저자들은 만성 수양성 설사와 전신 쇠약감을 주소로 내원한 75세 남자 환자에서 교원성 대장염으로 진단하였고, 보존적 치료와 로페라미드를 하루 3 mg 투여로 임상 증상의 호전을 보인 증례를 경험하였기에 보고하는 바이다.
Abstract
Collagenous colitis is recognized as one of the causes of chronic diarrhea accompanied with autoimmune diseases. It is a disease associated with chronic watery diarrhea and typical histologic findings of a thick subepithelial collagenous deposit on biopsy. We experienced a 75-year-old man patient with chronic watery diarrhea and mild abdominal pain for 7 years. Physical examination, laboratory and radiologic studies were unremarkable except hypokalemia. Colonoscopy disclosed mucosal atrophy, loss of submucosal vessel and altered vascularity of terminal ileum, ascending colon. Colonoscopic biopsy revealed homogenous hyaline layered collagen deposition beneath the surface epithelium and Masson's trichrome stain showed collagen deposition. We report the case of collagenous colitis with a review of literature.(Korean J Med 71:75-79, 2006)
참고문헌 (19)
- "Collagenous colitis with watery diarrhoea", pp.87~89 (1976)
- "Collagenous colitis:physiologic and histopathologic studies in seven patients", 106, pp.46~49 (1987)
- "교원성 대장염 1예", 17, pp.79~84 (1997)
- "비스테로이드성 소염제의 장기 복용 후 생긴 교원성 대장염 1예", 53, pp.586~590 (1997)
- "류마티스성 관절염에 동반된 교원성 장염 1예", 51, pp.401~406 (1996)
- "교원질성 대장염 1예", 13, pp.561~565 (1993)
- "교원성 대장염 2예", 29, pp.252~257 (1997)
- "교원질성 대장염 2예", 18, pp.937~943 (1998)
- "Chronic colitis with thickening of the subepithelial collagen layer histopathologic findings in 15 patients", collage(us colitis), pp.839~848 (1987)
- "The first case of CRST syndrome associated with collagenous colitis", 18, pp.1765~1767 (1991)
- "Chronic diarrhea", 127, pp.287~293 (2004)
- "Development of collagenous colitis in sequential biopsy specimens", 87, pp.703~709 (1984)
- "The atypical colitides", 28, pp.479~490 (1999)
- "Role of bile acids and bile acid binding agents in patients with collagenous colitis", 46, pp.170~175 (2000)
- "Sulfasalazine in treatment of collagenous colitis:case report and review of the literature", 77, pp.162~166 (1984)
- "Collagenous colitis", 106, pp.108~113 (1987)
- "Mechanisms of diarrhea in collagenous colitis", 123, pp.433~443 (2002)
- "Budesonide treatment for collagenous colitis: a randomized, double-blind, placebo-controlled, multicenter trial", 123, pp.978~984 (2002)
- "Distribution of collagenous colitis:utility of flexible sigmoidoscopy", 33, pp.65~70 (1992)