اخر سلايد بمحاضره ال IBS الدكتور مشرحه
Microscopic colitis
عباره عن inflammation تصير بال colon تسوي watery diarrhea بشكل دائمي
- unknown cause
- ⬆️ females than males
- يجي عاده المريض عنده :
rheumatoid arthritis
DM
coeliac disease
NSAIDs or PPIs consumption
- Presented with :
persistent watery diarrhea
Ix :-
- Colonoscopy —> normal
لازم اسوي examination of colon tissue
يبين بال biopsy
- biopsies of right & left colon + terminal ileum for all patients
- two types
1. lymphocytic colitis
2. collagenous colitis
* Collagenous colitis CC
condition that affects large intestine —> leads to episodes of watery diarrhea and belly pain
Histologically —> presence of submucosal band of collagen with chronic inflammatory infiltrate
Tx :
Budesonide or 5-ASA
اذا ما التزم بالعلاج يصير recurrence
4January 5, 2023 3K 24
