[Collagenous colitis: a new case of exudative enteropathy]. / La colite collagène: une nouvelle cause d'entéropathie exsudative.

Collagenous colitis with intestinal protein loss was discovered in a sixty-six year-old female who presented with recurrent and prolonged diarrhea associated with hypoprotidemia, hypoalbuminemia, and increased clearance of alpha-1-antitrypsin. Histologic lesions of collagenous colitis were found during each episode of diarrhea. Biological and histological examinations were normal during the remission phases. Intestinal protein loss appeared to be due to collagenous colitis because of the parallel course of the clinical, biological and histological signs, and because no other cause had been discovered. The possibility of protein exudation, probably secondary to the extent of the epithelial detachment, could be an additional argument for the inflammatory etiology of collagenous colitis.

[Changes in levels of blood coagulation inhibitors in cirrhosis. Prospective study in 33 patients]. / Modifications des taux des inhibiteurs plasmatiques de la coagulation au cours de la cirrhose. Etude prospective chez 33 malades.

The variations of the main plasma inhibitors of coagulation were prospectively studied in 33 cirrhotic patients, of which 9 presented with hepatocellular carcinoma, 5 of those associated with portal vein thrombosis. The mean prothrombin index was 49 +/- 16 percent. All plasma values of inhibitors were diminished, but to varied degrees: the mean values were: protein C (PC): 33 +/- 15 percent, antithrombin III (AT III): 50 +/- 23 percent, total protein S (PST): 67 +/- 20 percent. The more severe the cirrhosis, the more decreased were the values of antithrombin II and protein C. According to Child classes A, B, and C, antithrombin III plasma values were 64 +/- 20, 50 +/- 21 and 26 +/- 11 percent and protein C values were 43 +/- 16, 32 +/- 8 and 19 +/- 9 percent, respectively. We were able to define expected plasma values of the plasma inhibitors as a function of coagulation factors during cirrhosis; AT III (percent) = 1.16 x factor II (percent) - 7.85; PC (percent) = 0.49 x AT III (percent) + 8.96; PC (percent) = 0.55 x factor II (percent) + 5.55; PST (percent) = 0.76 x factor II (percent) + 28.74. However those equations cannot be extrapolated to patients presenting with cirrhosis complicated with portal thrombosis.