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[Chronic diarrhoea due to microscopic colitis: awareness pays]
Bas P M Verhaegh1, Maarten A van Dijk, Danny Goudkade
1Maastricht Universitair Medisch Centrum+, Maastricht.
Nederlands Tijdschrift Voor Geneeskunde
|April 14, 2016
Summary
Increased awareness of microscopic colitis (MC) can lead to faster diagnosis and effective treatment with budesonide. Recognizing potential drug triggers, like NSAIDs, also aids in resolving chronic diarrhoea.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Microscopic colitis (MC) incidence is rising in The Netherlands, though case numbers remain lower than in other nations.
- Physician and pathologist awareness may significantly impact MC diagnosis rates.
Observation:
- Two distinct cases of chronic diarrhoea are presented, highlighting diagnostic challenges.
- One patient was diagnosed with MC after a biopsy revision, responding well to budesonide.
- Another patient's MC resolved upon withdrawal of NSAID medication, suggesting a drug-related etiology.
Findings:
- MC awareness can expedite the diagnosis of chronic diarrhoea.
- Early diagnosis facilitates the use of budesonide, a highly effective MC treatment.
- Identifying and withdrawing causative drugs, such as NSAIDs, is a viable treatment strategy.
Implications:
- Enhanced clinical awareness of MC is crucial for timely diagnosis and management.
- Budesonide offers a potent therapeutic option for patients with microscopic colitis.
- Understanding drug-associated risks for MC can guide treatment decisions and improve patient outcomes.
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