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Collagenous Colitis and Yersinia enterocolitica Infection

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Abstract

Collagenous colitis is a rare clinical andpathological entity characterized by watery diarrhea anddeposition of collagen beneath the surface epithelium ofthe colon. Its etiology is unknown. We present a careful retrospective clinicopathologicalanalysis of six patients with collagenous colitisdiagnosed at our hospital during a three-year period.Three of the patients had had a Yersinia enterocolitica infection, detected by stool culture andelevated serum antibody titers, preceding the diagnosisof collagenous colitis. Four patients had duodenalvillous atrophy, which in two patients was refractory to a gluten-free diet. We propose that Yersiniaenterocolitica infection may be a triggering factor forthe development of collagenous colitis in some cases.Duodenal villous atrophy not responding to gluten withdrawal is common in association withcollagenous colitis.

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Authors
  1. M. Makinen
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  2. S. Niemela
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  3. J. Lehtola
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  4. T. J. Karttunen
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Makinen, M., Niemela, S., Lehtola, J. et al. Collagenous Colitis and Yersinia enterocolitica Infection. Dig Dis Sci 43, 1341–1346 (1998). https://doi.org/10.1023/A:1018836614448

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