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• W1967027850 abstract "Case Studies1 May 1963Brown Bowel SyndromeA. H. TOFFLER, M.D., P. B. HUKILL, M.D., H. M. SPIRO, M.D., F.A.C.P.A. H. TOFFLER, M.D.Search for more papers by this author, P. B. HUKILL, M.D.Search for more papers by this author, H. M. SPIRO, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-58-5-872 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptExtensive brown pigmentation of the muscular layer of the small bowel is uncommon, although such discoloration of the gastrointestinal tract has been recorded in isolated case reports for the past 20 years (1-12). We recently studied a patient with extensive brown pigmentation of the small intestine. The picture he presented was not recognized by us or by our colleagues in this or several other cities, and most often was considered a form of melanosis coli. Our report proposes to review the clinical and pathologic pattern of this brown bowel syndrome.CASE REPORTA 50-year-old man entered the Grace-New Haven Community...References1. PAPPENHEIMERVICTOR AMJ: Ceroid pigment in human tissues. Amer. J. Path. 22: 395, 1946. Google Scholar2. ADLERSBERGSCHEIN DJ: Clinical and pathological studies in sprue. JAMA 134: 1459, 1947. CrossrefMedlineGoogle Scholar3. PAULLEY JW: Observations on the aetiology of idiopathic steatorrhea. Brit. Med. J. 2: 1318, 1954. CrossrefMedlineGoogle Scholar4. HIMESADLERSBERG HWD: Malabsorption Syndrome, Grune & Stratton, Inc., New York, 1957, pp. 77, 90. Google Scholar5. ANSANELLILANE VN: Lipochrome (ceroid) pigmentation of the small intestine. Ann. Surg. 146: 117, 1957. CrossrefMedlineGoogle Scholar6. GRESHAMCRUICKSHANKVALENTINE GAJGJC: Pigmentation of intestinal muscle in steatorrhea. Nature (London) 181: 538, 1958. CrossrefMedlineGoogle Scholar7. GORDONNITOWSKYTILDONLEVIN HHHMJTS: Studies of tocopherol deficiency in infants and children. Pediatrics 21: 673, 1958. MedlineGoogle Scholar8. BLANCREIDANDERSEN WAJDDH: Avitaminosis E in cystic fibrosis of the pancreas. Pediatrics 22: 494, 1958. MedlineGoogle Scholar9. RICHARDS WC: Pigmentation of gastrointestinal muscle. Lancet 1: 683, 1959. CrossrefGoogle Scholar10. SCHWARTZJARNUM MS: Gastrointestinal protein loss in idiopathic hypercatabolic hypoproteinemia. Lancet 1: 327, 1959. CrossrefMedlineGoogle Scholar11. KERNERGOLDBLOOD IR: Investigations of tocopherol deficiency in infancy and childhood. Amer. J. Dis. Child. 99: 597, 1960. CrossrefGoogle Scholar12. BRAUNSTEIN H: Tocopherol deficiency in adults with chronic pancreatitis. Gastroenterology 40: 224, 1961. CrossrefGoogle Scholar13. SUNSHAY DCH: Pancreozymin-secretin test. Gastroenterology 38: 570, 1960. CrossrefMedlineGoogle Scholar14. GORDON RS: Exudative enteropathy. Lancet 1: 325, 1959. CrossrefMedlineGoogle Scholar15. GYORGYCOGANROSE PGCS: Availability of vitamin E in the newborn infant. Proc. Soc. Exp. Biol. Med. 81: 536, 1952. CrossrefMedlineGoogle Scholar16. PUTTHUKILL FAPB: Alcian green: a routine stain for mucins. Arch. Path. (Chicago) 74: 169, 1962. MedlineGoogle Scholar17. PUTT FA: Flaming red as a dye for the demonstration of lipids. Lab. Invest. 5: 377, 1956. MedlineGoogle Scholar18. LILLIE RD: Histopathologic Technique and Practical Histochemistry, The Blakiston Company, New York, 1954, p. 173. Google Scholar19. HOOPERWHIPPLE CWGH: Bile pigment metabolism. VIII. Bile pigment output influenced by hemoglobin injection; splenectomy and anemia. Amer. J. Physiol. 43: 275, 1917. CrossrefGoogle Scholar20. MARTINMOORE AJT: Vitamin E deficiency in the rat. Chem. Industry 57: 973, 1938. Google Scholar21. BARRIE MM: Vitamin E deficiency in the rat. III. Fertility in the female. Biochem. J. 32: 2134, 1938. CrossrefMedlineGoogle Scholar22. LILLIEDAFTSEBRELL RDFSWH: Cirrhosis of the liver in rats on a deficient diet and the effect of alcohol. Public Health Rep. 56: 1255, 1941. CrossrefGoogle Scholar23. LILLIEASHBURNSEBRELLDAFTLOWRY RDLLWHFSJV: Histogenesis and repair of the hepatic cirrhosis in rats produced by low protein diets and preventable with choline. Public Health Rep. 57: 502, 1942. CrossrefGoogle Scholar24. LOWRYDAFTSEBRELLASHBURNLILLIE JVFSWHLLRD: Treatment of dietary cirrhosis in rats with choline and casein. Public Health Rep. 56: 2216, 1941. CrossrefGoogle Scholar25. DAFTSEBRELLLILLIE FSWHRD: Production and apparent prevention of a dietary liver cirrhosis in rats. Proc. Soc. Exp. Biol. Med. 48: 228, 1941. CrossrefGoogle Scholar26. NITOWSKYGORDONTILDON HMHHJT: Studies of tocopherol deficiency in patients with cystic fibrosis of the pancreas and biliary atresia. Amer. J. Dis. Child. 92: 491, 1956. Google Scholar27. NITOWSKYGORDONTILDON HMHHJT: Studies of tocopherol deficiency in infants and children. IV. The effect of alpha tocopherol on creatinuria in patients with cystic fibrosis of the pancreas and biliary atresia. Bull. Hopkins Hosp. 98: 361, 1956. MedlineGoogle Scholar28. GORDONNITOWSKY HHHM: Some studies of tocopherol in infants and children. Amer. J. Clin. Nutr. 4: 491, 1956. CrossrefGoogle Scholar29. GOETTSCHPAPPENHEIMER MAM: Nutritional muscular dystrophy in the guinea pig and rabbit. J. Exp. Med. 54: 145, 1931. CrossrefMedlineGoogle Scholar30. MACKENZIEMCCOLLUM CGEV: Vitamin E and nutritional muscular dystrophy. Science 89: 370, 1939. CrossrefMedlineGoogle Scholar31. DAYDINNING PLJS: Nutritional muscular dystrophy in monkeys receiving a diet deficient in both vitamin B6 and E. Amer. J. Clin. Nutr. 4: 386, 1956. CrossrefMedlineGoogle Scholar32. PEARSE AG: Histochemistry, Theoretical and Applied, Little, Brown and Company, Boston, 1961, pp. 661-668. Google Scholar33. LERNER AB: Melanian pigmentation. Amer. J. Med. 19: 902, 1955. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New Haven, ConnecticutFrom the Departments of Medicine and Pathology, Yale University School of Medicine, New Haven, Connecticut.This study was supported by United States Public Health Service grants C-2578, A-5100, A-3473, and A-1785.Requests for reprints should be addressed to Howard M. Spiro, M.D., Yale University School of Medicine, 333 Cedar Street, New Haven, Connecticut. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byBrown bowel syndrome: a rare cause of intestinal obstructionBrown Bowel Syndrome Is a Rare and Commonly Missed Disease: A Case Report and Literature ReviewBrown Bowel SyndromeSevere chronic bowel obstruction associated with brown bowel syndromeBrown Bowel Syndrome in a Middle-Aged Woman with Chronic Idiopathic MalabsorptionJejunitis and brown bowel syndrome with multifocal carcinogenesis of the small bowelBrown Bowel Syndrome: A Rare Complication in Diseases Associated with Long-Standing MalabsorptionEsophageal Manifestations of Collagen Vascular and Other Systemic DiseasesMelanosis ColiMelanosis coliMelanosis coliAnorectal functional deficit in the brown bowel syndromeBrown bowel syndrome: A late complication of intestinal atresiaGauchev's Disease Type I: Report of a Case with Prominent Deposition of Ceroid in Splenic Endothelial Cells and Intestinal Smooth Muscle FibersMelanosis coliBrown-Bowel Syndrome: Review of the Literature and Presentation of CasesBrown Bowel Syndrome with Manifestation in the Gastrointestinal Tract and Thyroid GlandLetter to the CasePathology of neuromuscular disorders of the small intestine and colonMelanosis coliBLACK THYROIDIntestinal ceroid deposition ? ?Brown bowel syndrome?IDIOPATHIC PULMONARY CEROIDOSISPseudomelanosis of the esophagusDas PeritoneumPigmented periductal cells (ochrocytes) in mammary dysplasias: Their nature and significanceClinical Observations on MalabsorptionOccurrence of Ceroid Pigment without Malabsorption in ThailandBrown Bowel and Skeletal Myopathy Associated with Vitamin E Depletion in Pancreatic InsufficiencyNeuromuscular disease in patients with steatorrhoea.Lipofuscinosis of the gastrointestinal tract in manBrown pigmentation (lipofuscinosis) of canine intestinal muscularisTocopherol Deficiency in Man 1 May 1963Volume 58, Issue 5Page: 872-877KeywordsAttentionBiochemistryBlood plasmaDistillationGastrointestinal tractMedical servicesPancreatitisSmall intestine Issue Published: 1 May 1963 PDF downloadLoading ..." @default.
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