ArticleCureus2018
Atypical Colonoscopic Presentation of Lymphocytic Colitis Mimicking Hyperplastic Polyposis Syndrome.
Article in Cureus, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Lymphocytic colitis is a chronic inflammatory disease of colon usually presented in middle age female as chronic watery diarrhea. Diagnosis is made on biopsy as colonoscopy usually revealed normal appearing colonic mucosa. We present here an unusual case of a 25-year-old female with past medical history of asthma was evaluated for one year of non-bloody watery diarrhea. The symptoms started after a course of antibiotics for upper respiratory tract infection a year back. The serum chemistries, including liver enzymes, were unremarkable. Stool culture, ova, and parasites were unremarkable. Stool Clostridium difficile was also negative. Celiac disease antibodies were unremarkable. Stool occult blood test was positive. The patient underwent colonoscopy for the evaluation of chronic diarrhea and revealed multiple polyps throughout the colon with inflamed surfaces which were biopsied. The concern was for hyperplastic polyposis syndrome. Genetic testing for adenomatous polyposis gene was done and came back negative. Biopsy from polyps revealed lymphocytic colitis. The patient was started on budesonide which resulted in marked improvement in her symptoms. Our case highlighted an atypical endoscopic finding of lymphocytic colitis which mimic hyperplastic polyposis syndrome.
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