Immune checkpoint inhibitor-associated colitis: Common endoscopic and histologic features
Endoscopic features |
Edema |
Erythema |
Friability |
Loss of vascular pattern |
Granularity of mucosa |
“Skip” or continuous inflammation |
Spontaneous bleeding |
Deep or “punched-out” ulceration |
Histologic features |
Erosion and ulcers |
Cryptitis and crypt abscess |
Crypt distortion |
Prominent crypt apoptosis |
Intraepithelial lymphocytosis |
Infiltration of mononuclear cells in the lamina propria |
Intranuclear inclusion bodies (concurrent cytomegalovirus) |
Rare transmural inflammation |
Noncaseating granulomas |