U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Collagenous sprue

MedGen UID:
137953
Concept ID:
C0341299
Disease or Syndrome
Synonyms: Collagenous Sprue; Collagenous Sprues; Sprue, Collagenous; Sprues, Collagenous
SNOMED CT: Non-gluten sensitive enteropathy syndrome (61738006); Non-gluten intolerance syndrome (61738006); Collagenous enteropathy syndrome (61738006); Collagenous sprue (61738006); Collagenous enteropathy (61738006)
 
Monarch Initiative: MONDO:0044092

Definition

A rare disorder affecting the digestive tract. Its cause is unclear but may be attributed, in part, to increased collagen synthesis without adequate fibrolysis. It is characterized histologically by atrophy of mucosal villi and crypts with extensive subepithelial collagen deposition. Clinical signs include nausea, vomiting, diarrhea and weight loss. Unlike celiac sprue (celiac disease), a gluten-free diet does not predict a certain regression of the disease. The clinical course follows a progression of malabsorption leading to nutritional deficiencies, small bowel ulceration/perforation, lymphoma and infection. Prognosis is usually dismal. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVCollagenous sprue

Professional guidelines

PubMed

Chen ZE, Lee HE, Wu TT
Hum Pathol 2023 Feb;132:20-30. Epub 2022 Aug 4 doi: 10.1016/j.humpath.2022.07.017. PMID: 35932826
Brown I, Bettington M, Rosty C
Histopathology 2021 Jan;78(1):88-105. doi: 10.1111/his.14262. PMID: 33382496
Nielsen OH, Riis LB, Danese S, Bojesen RD, Soendergaard C
Ann Med 2014 Aug;46(5):311-7. Epub 2014 Apr 10 doi: 10.3109/07853890.2014.899102. PMID: 24716737

Recent clinical studies

Etiology

Choung RS, Sharma A, Chedid VG, Absah I, Chen ZE, Murray JA
Clin Gastroenterol Hepatol 2022 Sep;20(9):1977-1985.e1. Epub 2021 Dec 2 doi: 10.1016/j.cgh.2021.11.033. PMID: 34864160
Bayoumy AB, Simsek M, Seinen ML, Mulder CJJ, Ansari A, Peters GJ, De Boer NK
Expert Opin Drug Metab Toxicol 2020 Feb;16(2):111-123. Epub 2020 Feb 24 doi: 10.1080/17425255.2020.1719996. PMID: 32090622
Nielsen OH, Riis LB, Danese S, Bojesen RD, Soendergaard C
Ann Med 2014 Aug;46(5):311-7. Epub 2014 Apr 10 doi: 10.3109/07853890.2014.899102. PMID: 24716737
Freeman HJ
Can J Gastroenterol 2011 Apr;25(4):189-92. doi: 10.1155/2011/821976. PMID: 21523258Free PMC Article
Leung ST, Chandan VS, Murray JA, Wu TT
Am J Surg Pathol 2009 May;33(5):788-98. doi: 10.1097/PAS.0b013e318196a67f. PMID: 19295410

Diagnosis

Brown I, Bettington M, Rosty C
Histopathology 2021 Jan;78(1):88-105. doi: 10.1111/his.14262. PMID: 33382496
Smyrk TC
Surg Pathol Clin 2017 Dec;10(4):823-839. Epub 2017 Sep 23 doi: 10.1016/j.path.2017.07.004. PMID: 29103535
Nielsen OH, Riis LB, Danese S, Bojesen RD, Soendergaard C
Ann Med 2014 Aug;46(5):311-7. Epub 2014 Apr 10 doi: 10.3109/07853890.2014.899102. PMID: 24716737
Freeman HJ
Can J Gastroenterol 2011 Apr;25(4):189-92. doi: 10.1155/2011/821976. PMID: 21523258Free PMC Article
Leung ST, Chandan VS, Murray JA, Wu TT
Am J Surg Pathol 2009 May;33(5):788-98. doi: 10.1097/PAS.0b013e318196a67f. PMID: 19295410

Therapy

Bayoumy AB, Simsek M, Seinen ML, Mulder CJJ, Ansari A, Peters GJ, De Boer NK
Expert Opin Drug Metab Toxicol 2020 Feb;16(2):111-123. Epub 2020 Feb 24 doi: 10.1080/17425255.2020.1719996. PMID: 32090622
Smyrk TC
Surg Pathol Clin 2017 Dec;10(4):823-839. Epub 2017 Sep 23 doi: 10.1016/j.path.2017.07.004. PMID: 29103535
Nielsen OH, Riis LB, Danese S, Bojesen RD, Soendergaard C
Ann Med 2014 Aug;46(5):311-7. Epub 2014 Apr 10 doi: 10.3109/07853890.2014.899102. PMID: 24716737
Narla NP, Smyrk TC, Pardi DS, Tung J
J Pediatr Gastroenterol Nutr 2013 Nov;57(5):557-61. doi: 10.1097/MPG.0b013e3182a1df59. PMID: 23820404
Freeman HJ
Can J Gastroenterol 2011 Apr;25(4):189-92. doi: 10.1155/2011/821976. PMID: 21523258Free PMC Article

Prognosis

Freeman HJ
World J Gastroenterol 2014 Aug 7;20(29):9990-7. doi: 10.3748/wjg.v20.i29.9990. PMID: 25110427Free PMC Article
Nielsen OH, Riis LB, Danese S, Bojesen RD, Soendergaard C
Ann Med 2014 Aug;46(5):311-7. Epub 2014 Apr 10 doi: 10.3109/07853890.2014.899102. PMID: 24716737
Freeman HJ
Can J Gastroenterol 2011 Apr;25(4):189-92. doi: 10.1155/2011/821976. PMID: 21523258Free PMC Article
Freeman HJ
World J Gastroenterol 2008 Mar 21;14(11):1643-5. doi: 10.3748/wjg.14.1643. PMID: 18350593Free PMC Article
Colletti RB, Trainer TD
Gastroenterology 1989 Dec;97(6):1552-5. doi: 10.1016/0016-5085(89)90403-4. PMID: 2583419

Clinical prediction guides

Lan N, Shen B, Yuan L, Liu X
J Gastroenterol Hepatol 2017 Jan;32(1):120-127. doi: 10.1111/jgh.13592. PMID: 27620860
Desruisseaux C, Bensoussan M, Désilets E, Tran HK, Arcand R, Poirier G, Wisniewski A, Manière T
Can J Gastroenterol Hepatol 2016;2016:4837270. Epub 2016 Apr 21 doi: 10.1155/2016/4837270. PMID: 27446843Free PMC Article
Rönnblom A, Holmström T, Tanghöj H, Wanders A, Sjöberg D
Scand J Gastroenterol 2015;50(10):1234-40. Epub 2015 Apr 28 doi: 10.3109/00365521.2015.1041152. PMID: 25921772
Freeman HJ
World J Gastroenterol 2014 Aug 7;20(29):9990-7. doi: 10.3748/wjg.v20.i29.9990. PMID: 25110427Free PMC Article
Narla NP, Smyrk TC, Pardi DS, Tung J
J Pediatr Gastroenterol Nutr 2013 Nov;57(5):557-61. doi: 10.1097/MPG.0b013e3182a1df59. PMID: 23820404

Recent systematic reviews

Nielsen OH, Riis LB, Danese S, Bojesen RD, Soendergaard C
Ann Med 2014 Aug;46(5):311-7. Epub 2014 Apr 10 doi: 10.3109/07853890.2014.899102. PMID: 24716737

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...