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Gut 41:561-564 doi:10.1136/gut.41.4.561
  • CASE REPORT

Primary ileal villous atrophy is often associated with microscopic colitis

Table 2

Characteristics of 10 patients with primary ileal villous atrophy (PIVA). Another patient reported in reference 6 had PIVA with collagenous colitis, but his characteristics were not described

Variable Cases from the literature Present series
Reference (patient)
2 (KV) 2 (NJ) 2 (MM) 1 3 4 5 RM DO ML
Age at diagnosis (y)/sex 66/F 31/M 36/M 49/F 63/F 60/M 75/M 84/F 55/F 77/F
Age at onset of diarrhoea (y) 41 13 33 47 ND 45 74 34 34 61
Weight loss (kg) 14 0 8 4 16 0 0 No No 8
Faecal weight (g/24 h) 370 439 411 600–2000 550–1850 490–610 450 940 300–1800 500–800
Faecal fat (g/24 h) (N<7) 2 45 54 45 ND 3.2–3.9 ND 87 ND 2–5
Schilling test with intrinsic factor N N N Low N N N N Low N
75SeHCAT or cholylglycine test Low Low Low Low Low Low N N N Low
Efficacy of cholestyramine Yes Yes Yes Partial Yes ND Yes No Yes
Faecal weight during fasting test (g/24 h at days 2/3) ND ND ND ND ND ND ND 400/500 600/950 480/ND
α1-antitrypsin clearance (ml/24 h)3-150 ND ND ND ND ND ND ND 59 62 5–40
Colon histology N N N Excess of plasma cells in rectum LC N LC LC LC LC
  • 3-150 Normal <10 ml/24 h. ND, not described.

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