Difference between revisions of "Colitis"
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[[Image:Cryptitis high mag.jpg|thumb|[[Micrograph]] showing cryptitis - the histologic finding of an acute colitis. [[H&E stain]].]] | [[Image:Cryptitis high mag.jpg|thumb|[[Micrograph]] showing cryptitis - the histologic finding of an acute colitis. [[H&E stain]].]] | ||
'''Colitis''', plural '''colitides''', is an inflammatory process that involves the [[colon]]. | '''Colitis''', plural '''colitides''', is an inflammatory process that involves the [[colon]]. | ||
'''Proctitis''' and '''cecitis''' redirect to this article, as the mucosa of the [[rectum]] and [[cecum]] are very similar to that of the colon. | |||
==Type of colitis== | ==Type of colitis== | ||
Infectious: | Infectious: | ||
*[[Infectious colitis]], not otherwise specified. | *[[Infectious colitis]], not otherwise specified. | ||
*[[ | *''C. difficle'' colitis ([[pseudomembranous colitis]] often used as a synonym). | ||
*[[Cytomegalovirus colitis]]. | *[[Cytomegalovirus colitis]]. | ||
| Line 25: | Line 27: | ||
*[[Eosinophilic colitis]]. | *[[Eosinophilic colitis]]. | ||
*[[Diverticular-associated colitis]]. | *[[Diverticular-associated colitis]]. | ||
==Grading colitis== | |||
"A grading scheme":† | |||
{| class="wikitable" | |||
| '''Histologic finding''' | |||
| '''Grade''' | |||
|- | |||
| Mild | |||
| [[cryptitis]] | |||
|- | |||
| Moderate | |||
| [[crypt abscesses]] | |||
|- | |||
| Severe | |||
| erosions | |||
|- | |||
|} | |||
† Adapted from ''Kirsch''.<ref name=Kirsch>Kirsch, R. 13 December 2010.</ref> | |||
=====Images===== | |||
<gallery> | |||
Image: Cryptitis_--_very_high_mag.jpg | [[Cryptitis]]. (WC) | |||
Image: Crypt_abscess_--_very_high_mag.jpg | [[Crypt abscess]]. (WC) | |||
</gallery> | |||
==Sign out== | |||
<pre> | |||
Rectum, Biopsy: | |||
- Mild active proctitis with minimal architectural changes. | |||
- NEGATIVE for dysplasia. | |||
Comment: | |||
The biopsy is NEGATIVE for granulomas. The inflammation is nonspecific; it could be due to infection, inflammatory bowel disease, ischemia, or therapy/drugs. Clinical correlation is required. | |||
</pre> | |||
===Alternate comment=== | |||
The inflammation is nonspecific; it could be due to infection, inflammatory bowel disease, ischemia, inflammation secondary to diverticular disease or therapy/drugs. Clinical correlation is required. | |||
==See also== | ==See also== | ||
*[[Colon]]. | *[[Colon]]. | ||
*[[Cryptitis]]. | |||
==References== | |||
{{Reflist|1}} | |||
[[Category:Gastrointestinal pathology]] | [[Category:Gastrointestinal pathology]] | ||
Latest revision as of 18:19, 22 June 2023
Colitis, plural colitides, is an inflammatory process that involves the colon.
Proctitis and cecitis redirect to this article, as the mucosa of the rectum and cecum are very similar to that of the colon.
Type of colitis
Infectious:
- Infectious colitis, not otherwise specified.
- C. difficle colitis (pseudomembranous colitis often used as a synonym).
- Cytomegalovirus colitis.
Idiopathic:
- Ulcerative colitis.
- Crohn's disease with involvement of the colon.
- Microscopic colitis.
Iatrogenic:
Ischemic:
Miscellaneous:
Grading colitis
"A grading scheme":†
| Histologic finding | Grade |
| Mild | cryptitis |
| Moderate | crypt abscesses |
| Severe | erosions |
† Adapted from Kirsch.[1]
Images
Cryptitis. (WC)
Crypt abscess. (WC)
Sign out
Rectum, Biopsy:
- Mild active proctitis with minimal architectural changes.
- NEGATIVE for dysplasia.
Comment:
The biopsy is NEGATIVE for granulomas. The inflammation is nonspecific; it could be due to infection, inflammatory bowel disease, ischemia, or therapy/drugs. Clinical correlation is required.
Alternate comment
The inflammation is nonspecific; it could be due to infection, inflammatory bowel disease, ischemia, inflammation secondary to diverticular disease or therapy/drugs. Clinical correlation is required.
See also
References
- ↑ Kirsch, R. 13 December 2010.