Collagenous enterocolitis manifesting as watery diarrhoea and iron-deficiency anaemia

A 56-year-old Caucasian woman presented with epigastric pain, watery diarrhoea, bloating and flatulence following treatment with duloxetine and venlafaxine for anxiety and depression. Abdominal examination was benign. Blood work revealed haemoglobin of 96 g/L (115–160 g/L), iron 6 μmol/L (10–33 μmol...

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Veröffentlicht in:	BMJ case reports 2015-09, Vol.2015, p.bcr2015211200
Hauptverfasser:	Yau, Alan Hoi Lun, Xiong, Wei, Ko, Hin Hin
Format:	Artikel
Sprache:	eng
Schlagworte:	Anemia Anemia, Iron-Deficiency - diagnosis Anemia, Iron-Deficiency - etiology Biopsy Celiac disease Colitis, Collagenous - complications Colitis, Collagenous - diagnosis Colitis, Collagenous - diet therapy Colitis, Collagenous - pathology Collagen Collagen - metabolism Collagenous Sprue - complications Collagenous Sprue - diagnosis Collagenous Sprue - diet therapy Collagenous Sprue - pathology Colon Colon - pathology Diarrhea Diarrhea - diagnosis Diarrhea - etiology Diet, Gluten-Free Duodenum - pathology Enterocolitis - complications Enterocolitis - diagnosis Enterocolitis - diet therapy Enterocolitis - pathology Family medical history Female Humans Inflammatory bowel disease Intestinal Mucosa - pathology Middle age Middle Aged Mortality Older people Rare Disease USA/Canada White
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Zusammenfassung:	A 56-year-old Caucasian woman presented with epigastric pain, watery diarrhoea, bloating and flatulence following treatment with duloxetine and venlafaxine for anxiety and depression. Abdominal examination was benign. Blood work revealed haemoglobin of 96 g/L (115–160 g/L), iron 6 μmol/L (10–33 μmol/L), transferrin saturation 0.08 (0.20–0.55), ferritin 26 μg/L (15–180 μg/L), albumin 46 g/L (35–50 g/L), pre-albumin 293 mg/L (170–370 mg/L), total IgA 2.64 g/L (0.78–3.58 g/L) and anti-tTG IgA 5 units (
ISSN:	1757-790X 1757-790X
DOI:	10.1136/bcr-2015-211200