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Membranous colitis: a potentially bone-deep diagnosis

Journal Volume 83 - 2020
Issue Fasc.4 - Clinical images
Author(s) M. Bronswijk 1 2, T. Ieven 3 4, R. Schrijvers 3 4, S. Vermeire 1, C. Breynaert 3 4
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PAGES 674-674
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Affiliations:
(1) Department of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium
(2) Department of Gastroenterology and Hepatology, Imelda General Hospital, Bonheiden, Belgium
(3) Department of General Internal Medicine - Allergy and Clinical Immunology, University Hospitals Leuven, Leuven, Belgium
(4) KU Leuven Department of Microbiology, Immunology and Transplantation, Allergy and Clinical Immunology Research Group, Leuven, Belgium.

A 44-year-old patient, with a history of cutaneous mastocytosis, was referred to our center following chronic attacks of diarrhea and epigastric pain. A previous colonoscopy was regarded as macroscopically normal. However, a new colonoscopy, performed at the time of acute complaints, revealed diffuse loss of vascular pattern in the transverse and sigmoid colon, with sloughing white membranes (Figure 1-left). Histological evaluation showed moderately active erosive colitis and increased numbers of eosinophilic granulocytes (Figure 1-right).

The authors declare that they have no conflict of interest.
© Acta Gastro-Enterologica Belgica.
PMID 33321032