Modern concept of differential diagnosis of colitis: from G.F. Lang to the present day. A review
The aim of the article is to improve the differential diagnosis of specific and nonspecific inflammatory bowel diseases. In Russia, this scientific direction is associated with the name of G.F. Lang, who performed in 1901–1902 the study „On ulcerative inflammation of the large intestine caused by ba...
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| Format: | Article |
| Language: | Russian |
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"Consilium Medicum" Publishing house
2023-12-01
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| Series: | Терапевтический архив |
| Subjects: | |
| Online Access: | https://ter-arkhiv.ru/0040-3660/article/viewFile/625315/141226 |
| _version_ | 1797261526002827264 |
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| author | Asfold I. Parfenov Anna V. Kagramanova Sergey G. Khomeriki Dmitrii S. Kulakov |
| author_facet | Asfold I. Parfenov Anna V. Kagramanova Sergey G. Khomeriki Dmitrii S. Kulakov |
| author_sort | Asfold I. Parfenov |
| collection | DOAJ |
| description | The aim of the article is to improve the differential diagnosis of specific and nonspecific inflammatory bowel diseases. In Russia, this scientific direction is associated with the name of G.F. Lang, who performed in 1901–1902 the study „On ulcerative inflammation of the large intestine caused by balantidiasis“. The etiology of specific colitis is associated with infection with parasites, bacteria and viruses that cause inflammation of the intestinal wall, diarrhea, often with an admixture of mucus, pus and blood. Specific colitis (SC) may be accompanied by fever, abdominal pain, and tenesmus. Bacterial colitis is commonly caused by Salmonella, Shigella, Escherichia coli, Clostridium difficile, Campylobacter jejuni, Yersinia enterocolitica, and Mycobacterium tuberculosis. Viral colitis is caused by rotavirus, adenovirus, cytomegalovirus, and norovirus. Parasitic colitis can be caused by Entamoeba histolytica and balantidia. In gay people, SC can cause sexually transmitted infections: Neisseria gonorrhoeae, Chlamydia trachomatis, and treponema pallidum, affecting the rectum. Stool microscopy, culture, and endoscopy are used to establish the diagnosis. Stool culture helps in the diagnosis of bacterial colitis in 50% of patients, and endoscopic studies reveal only nonspecific pathological changes. Differential diagnosis of SC should be carried out with immune-inflammatory bowel diseases (ulcerative colitis, Crohn's disease, undifferentiated colitis), radiation colitis and other iatrogenic bowel lesions. The principles of diagnosis and therapy of inflammatory bowel diseases associated with various etiological |
| first_indexed | 2024-03-08T18:25:59Z |
| format | Article |
| id | doaj.art-bc35f3d6a3484d31a70329c7a6615bba |
| institution | Directory Open Access Journal |
| issn | 0040-3660 2309-5342 |
| language | Russian |
| last_indexed | 2024-04-24T23:42:37Z |
| publishDate | 2023-12-01 |
| publisher | "Consilium Medicum" Publishing house |
| record_format | Article |
| series | Терапевтический архив |
| spelling | doaj.art-bc35f3d6a3484d31a70329c7a6615bba2024-03-15T10:06:07Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422023-12-0195121022103010.26442/00403660.2023.12.20249678402Modern concept of differential diagnosis of colitis: from G.F. Lang to the present day. A reviewAsfold I. Parfenov0https://orcid.org/0000-0002-9782-4860Anna V. Kagramanova1https://orcid.org/0000-0002-3818-6205Sergey G. Khomeriki2https://orcid.org/0000-0003-4308-8009Dmitrii S. Kulakov3https://orcid.org/0000-0002-0855-5217Loginov Moscow Clinical Scientific CenterLoginov Moscow Clinical Scientific CenterLoginov Moscow Clinical Scientific CenterLoginov Moscow Clinical Scientific CenterThe aim of the article is to improve the differential diagnosis of specific and nonspecific inflammatory bowel diseases. In Russia, this scientific direction is associated with the name of G.F. Lang, who performed in 1901–1902 the study „On ulcerative inflammation of the large intestine caused by balantidiasis“. The etiology of specific colitis is associated with infection with parasites, bacteria and viruses that cause inflammation of the intestinal wall, diarrhea, often with an admixture of mucus, pus and blood. Specific colitis (SC) may be accompanied by fever, abdominal pain, and tenesmus. Bacterial colitis is commonly caused by Salmonella, Shigella, Escherichia coli, Clostridium difficile, Campylobacter jejuni, Yersinia enterocolitica, and Mycobacterium tuberculosis. Viral colitis is caused by rotavirus, adenovirus, cytomegalovirus, and norovirus. Parasitic colitis can be caused by Entamoeba histolytica and balantidia. In gay people, SC can cause sexually transmitted infections: Neisseria gonorrhoeae, Chlamydia trachomatis, and treponema pallidum, affecting the rectum. Stool microscopy, culture, and endoscopy are used to establish the diagnosis. Stool culture helps in the diagnosis of bacterial colitis in 50% of patients, and endoscopic studies reveal only nonspecific pathological changes. Differential diagnosis of SC should be carried out with immune-inflammatory bowel diseases (ulcerative colitis, Crohn's disease, undifferentiated colitis), radiation colitis and other iatrogenic bowel lesions. The principles of diagnosis and therapy of inflammatory bowel diseases associated with various etiologicalhttps://ter-arkhiv.ru/0040-3660/article/viewFile/625315/141226ulcerative colitisspecific and nonspecific immune-inflammatory bowel diseasespseudomembranous colitisischemic colitis |
| spellingShingle | Asfold I. Parfenov Anna V. Kagramanova Sergey G. Khomeriki Dmitrii S. Kulakov Modern concept of differential diagnosis of colitis: from G.F. Lang to the present day. A review Терапевтический архив ulcerative colitis specific and nonspecific immune-inflammatory bowel diseases pseudomembranous colitis ischemic colitis |
| title | Modern concept of differential diagnosis of colitis: from G.F. Lang to the present day. A review |
| title_full | Modern concept of differential diagnosis of colitis: from G.F. Lang to the present day. A review |
| title_fullStr | Modern concept of differential diagnosis of colitis: from G.F. Lang to the present day. A review |
| title_full_unstemmed | Modern concept of differential diagnosis of colitis: from G.F. Lang to the present day. A review |
| title_short | Modern concept of differential diagnosis of colitis: from G.F. Lang to the present day. A review |
| title_sort | modern concept of differential diagnosis of colitis from g f lang to the present day a review |
| topic | ulcerative colitis specific and nonspecific immune-inflammatory bowel diseases pseudomembranous colitis ischemic colitis |
| url | https://ter-arkhiv.ru/0040-3660/article/viewFile/625315/141226 |
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