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Related Experiment Videos

[Ticlopidine-induced lymphocytic colitis].

I Rosa1, S Nahon, C Cohen

  • 1Service d'Hépato-Gastroentérologie, Centre Hospitalier Intercommunal de Créteil.

Annales De Medecine Interne
|November 2, 1999
PubMed
Summary
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This study reports a rare case of microscopic colitis with both lymphocytic and collagenous features. Ticlopidine use was linked to chronic diarrhea, resolving upon drug discontinuation, suggesting a causal relationship.

Area of Science:

  • Gastroenterology
  • Pathology

Background:

  • Microscopic colitis encompasses conditions like lymphocytic colitis and collagenous colitis, characterized by chronic diarrhea and specific histological findings.
  • The exact etiology remains unknown, but associations with immune disorders and certain medications (NSAIDs, veinotonics) are noted.

Observation:

  • A 65-year-old male presented with chronic diarrhea.
  • The patient was diagnosed with a rare form of microscopic colitis combining features of both lymphocytic and collagenous colitis.
  • Diarrhea onset coincided with ticlopidine intake and resolved upon its cessation, recurring with re-administration.

Findings:

  • Histological examination revealed features consistent with both lymphocytic colitis and collagenous colitis.
  • Ticlopidine was identified as a potential causative agent for the patient's chronic diarrhea.

Related Experiment Videos

  • Cessation of ticlopidine led to improvement in histological damage associated with lymphocytic colitis.
  • Implications:

    • This case highlights ticlopidine as a potential trigger for drug-induced microscopic colitis, specifically the lymphocytic subtype.
    • It underscores the importance of considering medication history in patients presenting with unexplained chronic diarrhea.
    • Further research may elucidate the mechanisms by which ticlopidine induces colonic inflammation.