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Symptomatic Microscopic Colitis Atop Quiescent Inflammatory Bowel Disease: A Case Series. 2017
Bryant Megna, and
Sumona Saha, and
Arnold Wald, and
Rashmi Agni, and
Kristina A Matkowskyj, and
Freddy Caldera
Department of Medicine, Division of Gastroenterology and Hepatology, University of Wisconsin, Madison, WI.
Microscopic colitis (MC) has rarely been described to be the cause of watery diarrhea in those with established inflammatory bowel disease (IBD), and instead has been presented as a herald syndrome to eventual IBD or incidentally found in asymptomatic IBD patients. We report a case series of 7 patients with IBD who presented with a watery diarrheal exacerbation due to new-onset MC. We propose that new-onset MC should be considered in the differential diagnosis of watery diarrhea occurring in patients with long-standing IBD and that evaluation should include colonoscopy with biopsies obtained throughout the colon.
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