Adding Water to the Mill: Olmesartan-Induced Collagenous Sprue—A Case Report and Brief Literature Review

Collagenous sprue (CS) is a distinct clinicopathological disorder histologically defined by a thickened subepithelial band (Freeman, 2011). It is a rare condition which has been recently observed in a significant proportion of sprue-like enteropathy associated with olmesartan, a novel entity describ...

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Main Authors: Claudine Desruisseaux, Michaël Bensoussan, Etienne Désilets, Hanh-Khiem Tran, Robert Arcand, Germain Poirier, Andrew Wisniewski, Thibaut Manière
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Canadian Journal of Gastroenterology and Hepatology
Online Access:http://dx.doi.org/10.1155/2016/4837270
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author Claudine Desruisseaux
Michaël Bensoussan
Etienne Désilets
Hanh-Khiem Tran
Robert Arcand
Germain Poirier
Andrew Wisniewski
Thibaut Manière
author_facet Claudine Desruisseaux
Michaël Bensoussan
Etienne Désilets
Hanh-Khiem Tran
Robert Arcand
Germain Poirier
Andrew Wisniewski
Thibaut Manière
author_sort Claudine Desruisseaux
collection DOAJ
description Collagenous sprue (CS) is a distinct clinicopathological disorder histologically defined by a thickened subepithelial band (Freeman, 2011). It is a rare condition which has been recently observed in a significant proportion of sprue-like enteropathy associated with olmesartan, a novel entity described by Rubio-Tapia et al. in 2012. CS is historically associated with a poor prognosis (Marthey et al., 2014). However, histological and clinical improvements have been described in most studies with concomitant usage of corticosteroids and/or gluten-free diet (Marthey et al., 2014). We report a unique case of olmesartan-induced collagenous sprue in a 79-year-old man that showed complete histological and clinical remission with the sole withdrawal of the incriminating drug. The literature on this topic is briefly reviewed.
format Article
id doaj-art-ca80c1346db046ceaf84b3605ba7feae
institution Kabale University
issn 2291-2789
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language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Canadian Journal of Gastroenterology and Hepatology
spelling doaj-art-ca80c1346db046ceaf84b3605ba7feae2025-02-03T06:08:20ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972016-01-01201610.1155/2016/48372704837270Adding Water to the Mill: Olmesartan-Induced Collagenous Sprue—A Case Report and Brief Literature ReviewClaudine Desruisseaux0Michaël Bensoussan1Etienne Désilets2Hanh-Khiem Tran3Robert Arcand4Germain Poirier5Andrew Wisniewski6Thibaut Manière7Gastroenterology Service, Charles-LeMoyne Hospital, Sherbrooke University, Greenfield Park, QC, J4V 2H1, CanadaGastroenterology Service, Charles-LeMoyne Hospital, Sherbrooke University, Greenfield Park, QC, J4V 2H1, CanadaGastroenterology Service, Charles-LeMoyne Hospital, Sherbrooke University, Greenfield Park, QC, J4V 2H1, CanadaGastroenterology Service, Charles-LeMoyne Hospital, Sherbrooke University, Greenfield Park, QC, J4V 2H1, CanadaPathology Department, Charles-LeMoyne Hospital, Sherbrooke University, Greenfield Park, QC, J4V 2H1, CanadaIntensive Care Unit, Charles-LeMoyne Hospital, Sherbrooke University, Greenfield Park, QC, J4V 2H1, CanadaGastroenterology Service, Charles-LeMoyne Hospital, Sherbrooke University, Greenfield Park, QC, J4V 2H1, CanadaGastroenterology Service, Charles-LeMoyne Hospital, Sherbrooke University, Greenfield Park, QC, J4V 2H1, CanadaCollagenous sprue (CS) is a distinct clinicopathological disorder histologically defined by a thickened subepithelial band (Freeman, 2011). It is a rare condition which has been recently observed in a significant proportion of sprue-like enteropathy associated with olmesartan, a novel entity described by Rubio-Tapia et al. in 2012. CS is historically associated with a poor prognosis (Marthey et al., 2014). However, histological and clinical improvements have been described in most studies with concomitant usage of corticosteroids and/or gluten-free diet (Marthey et al., 2014). We report a unique case of olmesartan-induced collagenous sprue in a 79-year-old man that showed complete histological and clinical remission with the sole withdrawal of the incriminating drug. The literature on this topic is briefly reviewed.http://dx.doi.org/10.1155/2016/4837270
spellingShingle Claudine Desruisseaux
Michaël Bensoussan
Etienne Désilets
Hanh-Khiem Tran
Robert Arcand
Germain Poirier
Andrew Wisniewski
Thibaut Manière
Adding Water to the Mill: Olmesartan-Induced Collagenous Sprue—A Case Report and Brief Literature Review
Canadian Journal of Gastroenterology and Hepatology
title Adding Water to the Mill: Olmesartan-Induced Collagenous Sprue—A Case Report and Brief Literature Review
title_full Adding Water to the Mill: Olmesartan-Induced Collagenous Sprue—A Case Report and Brief Literature Review
title_fullStr Adding Water to the Mill: Olmesartan-Induced Collagenous Sprue—A Case Report and Brief Literature Review
title_full_unstemmed Adding Water to the Mill: Olmesartan-Induced Collagenous Sprue—A Case Report and Brief Literature Review
title_short Adding Water to the Mill: Olmesartan-Induced Collagenous Sprue—A Case Report and Brief Literature Review
title_sort adding water to the mill olmesartan induced collagenous sprue a case report and brief literature review
url http://dx.doi.org/10.1155/2016/4837270
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