Mucous Colitis: A Delineation of the Syndrome With Certain Observations on Its Mechanism and on the Rôle of Emotional Tension as a Precipitating Factor

Article1 November 1940MUCOUS COLITIS: A DELINEATION OF THE SYNDROME WITH CERTAIN OBSERVATIONS ON ITS MECHANISM AND ON THE RÔLE OF EMOTIONAL TENSION AS A PRECIPITATING FACTORBENJAMIN V. WHITE, M.D., CHESTER M. JONES, M.D., F.A.C.P.BENJAMIN V. WHITE, M.D.Search for more papers by this author, CHESTER M. JONES, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-14-5-854 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMucous colitis is a bodily reaction rather than a disease entity. In this it resembles such syndromes as asthma and epilepsy. Its manifestations are manifold and inconstant, often overshadowed by other symptoms, sometimes adeptly mimicking unrelated disease. The clinical picture is a hazy one at best, yet because of the very qualities which characterize it, its recognition is extremely important. Mucous colitis is probably responsible for the removal of more undiseased appendices than any other one cause. It is often mistreated, with resultant invalidism which may in some instances be avoided. It accompanies many of the states of emotional tension...Bibliography1. DACOSTA JM: Mucous enteritis, Am. Jr. Med. Sci., 1871, lxxxix, 321-335. CrossrefGoogle Scholar2. STIERLIN E: Ueber der Obstipation vom Aszendenstypus, München. med. Wchnschr., 1911, Number 36, 1906-1911. Google Scholar3. FLEINER W: Ueber die Behandlung der Constipation und einiger Dickdarmaffectionen mit grossen Oelklystieren, Berl. klin. Wchnschr., 1893, xxx, 93-98. Google Scholar4. MALLORY WJ: Medical aspects of colitis, Jr. Am. Med. Assoc., 1928, xc, 601-603. CrossrefGoogle Scholar5. FRIEDENWALDFELDMANROSENTHAL JMLJ: Mucous colitis: observations in 500 cases, ANN. INT. MED., 1929, iii, 521-545. LinkGoogle Scholar6. JORDANKIEFER SMED: The irritable colon, Jr. Am. Med. Assoc., 1929, xciii, 592-595. JORDAN, S. M., and KIEFER, E. D.: Diagnosis and treatment of functional colon disorders, Med. Jr. and Rec., 1930, cxxxii, 175-178. CrossrefGoogle Scholar7. BOCKUSBANKWILKINSON HLJSA: Neurogenic mucous colitis, Am. Jr. Med. Sci., 1928, clxxvi, 813-829. CrossrefGoogle Scholar8. KANTOR JL: Colon studies. IV. The roentgen diagnosis of colitis (the irritable colon), Am. Jr. Roentgenol., 1927, xvii, 405-416. Google Scholar9. CRANE AW: A roentgen sign of mucous colitis, Am. Jr. Roentgenol., 1927, xvii, 416-425. Google Scholar10. SCHWARTZ G: Klinische Roentgendiagnostik des Dickdarms, 1914, J. Springer, Berlin. Google Scholar11. SCHATSKI R: Personal communication. Google Scholar12. WOODWARD JJ: The medical and surgical history of the war of the rebellion, 1879, Gov't. Printing Office, Washington. Google Scholar13. NOTHNAGEL H: Physiologie und Pathologie des Darmes, 1884, Hirschwald, Berlin. Google Scholar14. MARCHAND F: Ueber eigentümlich verzweigte Gerinnsel in den Darmentleerung, Berl. klin. Wchnschr., 1877, xiv, 704. Google Scholar15. VON LEUBE W: Leube's special medical diagnosis, translated by J. Salinger, 1904, Appleton, New York, London. Google Scholar16. EINHORN M: Die membranoese Enteritis und ihre Behandlung, Arch. f. Verdauungskr., 1898, iv, 455-465. CrossrefGoogle Scholar17. BOAS I: Diseases of the intestines, 1901, Appleton, New York. Google Scholar18. EBSTEIN W: Die chronische Stuhlverstopfung, 1901, Enke, Stuttgart. Google Scholar19. SCHUTZ R: Schleimkolik und membranoeser Dickdarmkatarrh, München. med. Wchnschr., 1900, Number 17, 573-575. Google Scholar20. NILES WL: Cecil's textbook of medicine, 2nd Ed., 1931, Saunders, Philadelphia, p. 741. Google Scholar21. VONNOORDEN C: Clinical treatises on the pathology and therapy of disorders of metabolism and nutrition. Part III. Membranous catarrh of the intestines, 1904, Treat, New York. Google Scholar22. ROTHMANN M: Beitrag zur Pathologie der Enteritis membranacea, Ztschr. f. klin. Med., 1893, xxii, 326-362. Google Scholar23. HEMMETER JC: Diseases of the intestines, 1902, Blakiston, Philadelphia. Google Scholar24. WESTPHALEN H: Enteritis membranacea, Berl. klin. Wchnschr., 1901, xxxviii, 367-371, 403-406, 432-435. Google Scholar25. DE LANGENHAGEN M: Mucomembranous enterocolitis, 1903, Churchill, London. CrossrefGoogle Scholar26. HURST AF: Medical diseases of the war, 1917, Arnold, London. Google Scholar27. DUKE WW: Food allergy as a cause of abdominal pain, Arch. Int. Med., 1921, xxviii, 151-165. CrossrefGoogle Scholar28. HOLLANDER E: Mucous colitis due to food allergy, Am. Jr. Med. Sci., 1927, clxxiv, 495-500. Google Scholar29. ROWE AH: Food allergy, 1931, Lea and Febiger, Philadelphia. ROWE, A. H.: Food allergy in the differential diagnosis of abdominal symptoms, Am. Jr. Med. Sci., 1932, clxxxiii, 529-537. Google Scholar30. DORSTMORRIS SERS: Bacterial hypersensitivity of the intestinal tract, Am. Jr. Med. Sci., 1930, clxxx, 650-656. MORRIS, R. S., and DORST, S. E.: Use of sodium ricinoleate in bacterial hypersensitiveness of the intestinal tract, ANN. INT. MED., 1930, iv, 396-397. CrossrefGoogle Scholar31. CANNONBRITTEN WBSW: Studies on the conditions of activity in endocrine glands: pseudoaffective medulliadrenal secretion, Am. Jr. Physiol., 1925, lxxii, 283-294. CrossrefGoogle Scholar32. BARD P: The central representation of the sympathetic system, Arch. Neurol. and Psychiat., 1929, xxii, 230-246. BARD, P.: A diencephalic mechanism for the expression of rage with special reference to the sympathetic system, Am. Jr. Physiol., 1928, lxxxiv, 490-515. CrossrefGoogle Scholar33. CUSHING H: Peptic ulcers and the interbrain, Surg., Gynec. and Obst., 1932, lv, 1-34. Google Scholar34. LIGHTBISHOPKENDALL RUCCLG: The production of gastric lesions in rabbits by injection of small amounts of pilocarpine into the cerebrospinal fluid, Jr. Pharmacol. and Exper. Therap., 1932, xlv, 227-251. Google Scholar35. KELLERHARED'AMOUR ADWKMC: Ulceration in digestive tract following experimental lesions in the brain stem, Proc. Soc. Exper. Biol. and Med., 1932-3, xxx, 772-775. Google Scholar36. WHITEJONES BVCM: The effects of irritants and drugs affecting the autonomic nervous system upon the mucosa of the normal rectum and rectosigmoid, with especial reference to mucous colitis, New Eng. Jr. Med., 1938, ccxviii, 791-797. CrossrefGoogle Scholar37. KATSCH G: Der menschliche Darm bei pharmakologischer Beeinflussung seiner Innervation, Fortschr. Roentgenstr., 1914, xxi, 159-198. Google Scholar38. BANTINGHALL FGGE: The experimental production of myocardial and coronary artery lesions, Trans. Assoc. Am. Phys., 1937, lii, 204-209. Google Scholar39. MANNINGHALLBANTING GWGEFG: Vagus stimulation and production of myocardial damage, Canad. Med. Assoc. Jr., 1937, xxxvii, 314-318. Google Scholar40. WHITECOBBJONES BVSCM: Mucous colitis: a psychological and medical study of sixty cases, Psychosomatic Medicine Monograph I, 1939, Banta, New York. Google Scholar41. SCHNEIDER EC: A cardiovascular rating as a measure of physical fatigue and efficiency, Jr. Am. Med. Assoc., 1920, lxxiv, 1507-1510. SCHNEIDER, E. C., and TRUESDELL, D.: Daily variation in cardiovascular conditions and a physical efficiency rating, Am. Jr. Physiol., 1923-4, lxvii, 193-202. Google Scholar42. TURNER AH: The circulatory minute volumes of healthy young women in reclining, sitting and standing positions, Am. Jr. Physiol., 1927, lxxx, 601-630. TURNER, A. H.: The adjustment of heart rate and arterial pressure in healthy young women during prolonged standing, Am. Jr. Physiol., 1927, lxxxi, 197-214. TURNER, A. H.: Personal character of the prolonged standing circulatory reaction and factors influencing it, Am. Jr. Physiol., 1928, lxxxvii, 667-679. CrossrefGoogle Scholar43. FLYNN JM: Somatic phenomena in psychoneuroses, Am. Jr. Med. Sci., 1937, cxciii, 548-553. Also personal communications. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Boston, Massachusetts*Received for publication May 23, 1940.From the Medical Clinic of the Massachusetts General Hospital and the Department of Medicine of the Harvard Medical School. 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