Arthritis and Collagenous Colitis

Sowa, James M.

doi:10.7326/0003-4819-121-3-199408010-00020

Cited by 6 publications

(4 citation statements)

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“…Thus, the search was formulated as follows: [(colitis/chemically induced) OR (diarrhoea/chemically induced)] AND [(‘microscopic colitis’ [ti]) OR (‘lymphocytic colitis’ [ti]) OR (‘collagenous colitis’ [ti])]. Forty‐three articles fulfilled these criteria 13, 14, 16, 17, 22–60 . We added two articles reporting apoptosis as a histological marker of drug‐induced MC, 61, 62 several reports of possible drug‐induced CC 63, 64 and two large series of patients with MC in which medications possibly related to the onset of colitis were cited 64, 65 …”

Section: Methodsmentioning

confidence: 99%

Review article: drug‐induced microscopic colitis – proposal for a scoring system and review of the literature

Beaugerie

Pardi

2005

Aliment Pharmacol Ther

239

147

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Summary The pathophysiology of microscopic colitis is unknown, although it is thought to be because of an abnormal immune reaction to luminal antigens in predisposed hosts. Specific antigens have not been proved, although various infectious triggers and drugs have been proposed. The responsibility of several drugs has been questioned, some with strong clinical and/or histological evidence suggesting causality. The issue of drug‐induced microscopic colitis is important because of the burden of this disease. Thus, any case that can be cured by withdrawal of a drug must be identified. In this report, we propose a scoring system for drug‐induced microscopic colitis, adapting existing criteria of drug causality, and review the literature using this framework. Based on this review, several drugs are identified with intermediate or high likelihood of inducing microscopic colitis. Finally, we suggest how to treat individual patients suspected of having drug‐induced colitis according to the level of evidence for that particular drug.

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Section: Methodsmentioning

confidence: 99%

Review article: drug‐induced microscopic colitis – proposal for a scoring system and review of the literature

Beaugerie

Pardi

2005

Aliment Pharmacol Ther

239

147

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“…In all cases, RA preceded the bowel disease by many years. For this reason a possible etiopathogenic relationship between the ingestion of NSAIDs or parenteral gold compounds has been suggested, but has not been substantiated (36, 37). In these cases gut symptoms were independent of exacerbations of the arthritis.…”

Section: Discussionmentioning

confidence: 99%

“…The cause of CC is currently unknown, although several mechanisms have been proposed, including an autoimmune origin and a dysregulation of collagen synthesis (2, 10, 11, 38). A possible role of drugs (especially NSAIDs) or bacterial toxins has also been suggested (2, 10, 36, 37, 39), although none of them has been conclusively proven.…”

Section: Discussionmentioning

confidence: 99%

Collagenous colitis and spondylarthropathy

Narváez¹,

Montalà²,

Busquets-Pérez³

et al. 2006

Arthritis & Rheumatism

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“…Collagenous colitis shows striking predominance in women (F:M 7:1) in their fifth and sixth decades [4,10,14] . They are often associated with other autoimmune diseases: rheumatoid arthritis [15][16][17] , systemic and discoid lupus erythematosus [18,19], juvenile sclerodermia [20] , CREST syndrome [21] , abnormal function of thyroid gland [14] . Lymphocytic colitis is defined by increased number of intraepithelial lymphocyte of colonic mucosa (>20 IEL per 100 epithelial cells) [10] .…”

Section: Introductionmentioning

confidence: 99%