title: Collagenous enterocolitis and maturity onset type 1 diabetes manifesting as uraemia, malabsorption and extreme weight loss.
abstract: A 37-year-old patient with type 1 diabetes had been recently diagnosed with collagenous colitis (CC) after sigmoidoscopy. She rapidly progressed from a fortnight of watery diarrhoea, to a malabsorptive state with severe dehydration and acute kidney injury. This necessitated admission to an intensive care unit for emergency dialysis. She was subsequently diagnosed with collagenous enterocolitis affecting gastric, small bowel and colonic mucosa which required systemic steroid therapy. Physicians caring for patients with CC should be aware of the potential extreme manifestations of upper gastrointestinal collagenous deposition.
authors: Department of Medicine, Redcliffe Hospital, Brisbane, Queensland, Australia School of Medicine, University of Queensland, Brisbane, Australia.
authors: Jonathan Michael
authors: http://orcid.org/0000-0002-3545-4235
authors: JM
authors: Hunter
authors: School of Medicine, University of Queensland, Brisbane, Australia Department of Medicine, The Prince Charles Hospital, Brisbane, Queensland, Australia.
authors: Hui Jean
authors: HJ
authors: Lee
authors: School of Medicine, University of Queensland, Brisbane, Australia Department of Anatomical Pathology, The Prince Charles Hospital, Brisbane, Queensland, Australia.
authors: Andrew
authors: A
authors: Dettrick
authors: Department of Medicine, Redcliffe Hospital, Brisbane, Queensland, Australia School of Medicine, University of Queensland, Brisbane, Australia.
authors: Christopher
authors: C
authors: Tan
mesh_terms: D000328:Adult; D001706:Biopsy; D046729:Colitis, Collagenous / Q000150:complications* / Q000175:diagnosis; D003106:Colon / Q000473:pathology; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D004386:Duodenum / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D005753:Gastric Mucosa / Q000473:pathology; D005773:Gastroscopy; D006801:Humans; D008286:Malabsorption Syndromes / Q000175:diagnosis / Q000209:etiology*; D012812:Sigmoidoscopy; D014511:Uremia / Q000175:diagnosis / Q000209:etiology*; D015431:Weight Loss