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Melanosis coli is a condition usually associated with chronic laxative use in which dark pigment is deposited in the lamina propria (one of the lining layers) of the large intestine (colon). The pigment deposition results in a characteristic dark brown to black discoloration of the lining of the large intestine.
It can range from mild nonspecific colitis and diarrhea to severe fulminant pseudomembranous colitis (see below) with profuse watery diarrhea. The inflammation may be caused by a toxin produced by Clostridium difficile, a microorganism that is not normally present in the resident bowel flora. severe acute inflammation of the bowel mucosa, with the formation of pseudomembranous plaques. It is most commonly associated with antimicrobial therapy (see antibiotic-associated colitis (above)). Called also pseudomembranous enterocolitis.