European Journal of Case Reports in Internal Medicine (Apr 2019)

Olmesartan-Associated Enteropathy: An Unexpected Cause of Chronic Diarrhoea

  • Mónica Martins Teixeira,
  • Sara Macedo,
  • Ana Sofia Martins,
  • Tânia Batista,
  • António Novais,
  • Maria Costa,
  • Eugénia Maria Cancela

DOI
https://doi.org/10.12890/2019_001093

Abstract

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Olmesartan-associated enteropathy is a rare cause of severe enteropathy that should be considered in the differential diagnosis of patients with unexplained chronic diarrhoea. It may be difficult to recognise because of its clinical and histologic similarities to other clinical entities. The authors present the case of a 72-year-old woman with a 6-month clinical history of non-bloody diarrhoea and weight loss. Discontinuation of olmesartan resulted in clinical and histologic recovery, and therefore, physicians need to be aware of olmesartan-associated enteropathy in order to avoid unnecessary testing. Although rare, it is considered an emerging and underdiagnosed enteropathy.

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