Skip to main content
Log in

Collagenous and Lymphocytic Colitis in Iceland

  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

Abstract

The aim of this study was to determine the nationwide incidence of collagenous and lymphocytic colitis in Iceland and the location of histopathological changes in the large bowel. All pathology reports of patients diagnosed with or suspected of having collagenous colitis or lymphocytic colitis in the period 1995–1999 were identified. All pathology samples were reevaluated using strict diagnostic criteria. After reevaluation 125 patients fulfilled our diagnostic criteria, 71 as collagenous colitis and 54 as lymphocytic colitis. The mean annual incidence for collagenous colitis was 5.2/100,000 inhabitants, and the mean age at diagnosis was 66.1 years. The mean annual incidence for lymphocytic colitis was 4.0/100,000 inhabitants, the mean age at diagnosis was 68.7 years. Both diseases more commonly involved the colon than the rectum. The incidence of collagenous colitis and lymphocytic colitis is high in Iceland. The mean annual incidence of collagenous colitis is much higher in Iceland than hitherto reported elsewhere.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

REFERENCES

  1. Lindström CG: “Collagenous colitis” with watery diarrhoea--a new entity? Pathol Eurp 11:87–89, 1976

    Google Scholar 

  2. Read NW, Krejs GJ, Read MG, Santa Ana CA, Morawski SG, Fordtran JS: Chronic diarrhea of unknown origin. Gastroenterology 78:264–271, 1980

    Google Scholar 

  3. Lazenby A, Yardley J, Giardiello FM, Jessurun J, Bayless T: Lymphocytic (microscopic) colitis. A comparative histopathologic study, with particular reference to collagenous colitis. Hum Pathol 20:18–28, 1989

    Google Scholar 

  4. Levison DA, Lazenby AJ, Yardley JH: Microscopic colitis cases revisited. Gastroenterology 105:1594–1596, 1993

    Google Scholar 

  5. Bohr J, Tysk C, Eriksson S, Jårnerot G: Collagenous colitis in Örebro, Sweden, an epidemiological study. Gut 37:394–397, 1995

    Google Scholar 

  6. Fernández-Bañares F, Salas A, Forné M, Esteve M, Espinós J, Viver JM: Incidence of collagenous and lymphocytic colitis: A 5-year population-based study. Am J Gastroenterol 94:418–423, 1999

    Google Scholar 

  7. Baert F, Wouters K, D'Haens G, Hoang P, Naegels S, D'Heygere F, Holvoet J, Louis E, Devos M, Geboes K: Lymphocytic colitis: A distinct clinical entity? A clinicopathological confrontation of lymphocytic and collagenous colitis. Gut 45:375–381, 1999

    Google Scholar 

  8. Bogomoletz WV: Collagenous, microscopic and lymphocytic colitis. An evolving concept. Virchows Arch 424:573–579, 1994

    Google Scholar 

  9. Shurberg JL, McCoy KL, Yardley JH, Travers RD, Giardiello FM, Lazenby AJ: Collagenous colitis seen in 1320 patients with chronic diarrhea in a community practice of gastroenterology from 1976–1986. Gastroenterology 94:A426, 1988

    Google Scholar 

  10. Lazenby AJ, Yardley JH, Giardiello FM, Bayless TM: Pitfalls in the diagnosis of collagenous colitis: Experience with 75 cases from a registry of collagenous colitis at the Johns Hopkins Hospital. Hum Pathol 21:905–910, 1990

    Google Scholar 

  11. Bogomoletz WV, Fléjou JF: Newly recognized forms of colitis: Collagenous colitis, microscopic (lymphocytic) colitis, and lymphoid follicular proctitis. Semin Diagn Pathol 8:178–189, 1991

    Google Scholar 

  12. Zins BJ, Sandborn WJ, Tremaine WJ: Collagenous and lym-phocytic colitis: Subject review and therapeutic alternatives. Am J Gastroenterol 90:1394–1400, 1995

    Google Scholar 

  13. Smith DA, Germolec DR: Introduction to immunology and autoimmunity. Environ Health Perspect 107(suppl 5):661–665, 1999

    Google Scholar 

  14. Bohr J, Tysk C, Yang P, Danielsson D, Järnerot G: Autoantibodies and immunoglobulins in collagenous colitis. Gut 39:73–76, 1996

    Google Scholar 

  15. Giardiello FM, Lazenby AJ, Yardley JH, Bias WB, Johnson J, Alianiello RG, Bedine MS, Bayless TM: Increased HLA A1 and diminished HLA A3 in lymphocytic colitis compared to controls and patients with collagenous colitis. Dig Dis Sci 37:496–499, 1992

    Google Scholar 

  16. Tanaka M, Mazzoleni G, Riddell RH: Distribution of collagenous colitis: Utility of flexible sigmoidoscopy. Gut 33:65–70, 1992

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Agnarsdottir, M., Gunnlaugsson, O., Orvar, K.B. et al. Collagenous and Lymphocytic Colitis in Iceland. Dig Dis Sci 47, 1122–1128 (2002). https://doi.org/10.1023/A:1015058611858

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1015058611858

Navigation