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Pseudomembranous Collagenous Colitis: A Case of Not-so-Microscopic Colitis

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2016

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American College of Gastroenterology
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Grunwald, Douglas, Manisha Mehta, and Sunil G. Sheth. 2016. “Pseudomembranous Collagenous Colitis: A Case of Not-so-Microscopic Colitis.” ACG Case Reports Journal 3 (4): e187. doi:10.14309/crj.2016.160. http://dx.doi.org/10.14309/crj.2016.160.

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We present a 72-year-old male who developed progressive, watery diarrhea despite anti-motility agents. On colonoscopy, the mucosa was inflamed and covered with an exudate. Stool studies for Clostridium difficile and Escherichia coli were negative. Biopsies revealed pseudomembranous collagenous colitis, a rare form of microscopic colitis. His symptoms improved dramatically with budesonide therapy.

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