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Previous Volume 349:1349 October 2, 2003 Number 14 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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View larger version (38K): [in this window] [in a new window]   A 60-year-old woman with a family history of colon cancer and a history of adenomatous colorectal polyps underwent surveillance colonoscopy. Her last endoscopy, three years previously, had revealed two polyps and normal colonic mucosa (Panel A). Since then, increasing constipation had developed, for which the patient took a daily dose of senna, a laxative that contains anthraquinone. Endoscopy revealed diffuse dark brown and black pigmentation throughout her colon, which is consistent with the presence of melanosis coli (Panel B). Biopsies of the affected areas showed pigment in macrophages of the lamina propria, without any evidence of inflammation or cancer (Panel . . . [Full Text of this Article]

 

Related Letters:

Melanosis Coli?
Mennecier D., Vergeau B., Gunaratnam N. T., Shehab T. M., Ahmed S.
Extract | Full Text | PDF  
N Engl J Med 2004; 350:197, Jan 8, 2004. Correspondence

This article has been cited by other articles:

• Mennecier, D., Vergeau, B., Gunaratnam, N. T., Shehab, T. M., Ahmed, S. (2004). Melanosis Coli?. NEJM 350: 197-197 [Full Text]