A Case of Crohn's Disease which Initially Presented with Diffuse Inflammation in the Rectum and Sigmoid Colon

Toshifumi HIBI; Hiroshi SERIZAWA; Masako TOMITA; Makoto SUEMATSU; Takanori KANAI; Noriaki WATANABE; Yukio TASHIRO; Yoshinori Sugino; Masaharu TSUCHIYA

doi:10.1111/j.1443-1661.1993.tb00612.x

A Case of Crohn's Disease which Initially Presented with Diffuse Inflammation in the Rectum and Sigmoid Colon

Toshifumi HIBI, Hiroshi SERIZAWA, Masako TOMITA, Makoto SUEMATSU, Takanori KANAI, Noriaki WATANABE, Yukio TASHIRO, Yoshinori Sugino, Masaharu TSUCHIYA

Research output: Contribution to journal › Article › peer-review

Abstract

Abstract: This case report describes a female patient with Crohn 's disease who had diffuse proctosigmoiditis without a longitudinal ulcer or cobblestone appearance at the initial attack. She was treated with sulfasalazine on the presumptive diagnosis of ulcerative colitis. Two and a half months later, painful ulcers in the oral cavity and a deep longitudinal ulcer in the sigmoid colon were found, and a non‐caseous granuloma was revealed in the biopsy specimens taken from the sigmoid colon. A definitive diagnosis of Crohn's disease was established from these findings and treatment with a corticosteroid was effective.

Original language	English
Pages (from-to)	169-174
Number of pages	6
Journal	Digestive Endoscopy
Volume	5
Issue number	2
DOIs	https://doi.org/10.1111/j.1443-1661.1993.tb00612.x
Publication status	Published - 1993 Apr

Keywords

Crohn's disease
diffuse inflammation
esophageal ulcer
oral ulcer

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Gastroenterology

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10.1111/j.1443-1661.1993.tb00612.x

Cite this

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abstract = "Abstract: This case report describes a female patient with Crohn 's disease who had diffuse proctosigmoiditis without a longitudinal ulcer or cobblestone appearance at the initial attack. She was treated with sulfasalazine on the presumptive diagnosis of ulcerative colitis. Two and a half months later, painful ulcers in the oral cavity and a deep longitudinal ulcer in the sigmoid colon were found, and a non‐caseous granuloma was revealed in the biopsy specimens taken from the sigmoid colon. A definitive diagnosis of Crohn's disease was established from these findings and treatment with a corticosteroid was effective.",

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AU - HIBI, Toshifumi

AU - SERIZAWA, Hiroshi

AU - TOMITA, Masako

AU - SUEMATSU, Makoto

AU - KANAI, Takanori

AU - WATANABE, Noriaki

AU - TASHIRO, Yukio

AU - Sugino, Yoshinori

AU - TSUCHIYA, Masaharu

PY - 1993/4

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N2 - Abstract: This case report describes a female patient with Crohn 's disease who had diffuse proctosigmoiditis without a longitudinal ulcer or cobblestone appearance at the initial attack. She was treated with sulfasalazine on the presumptive diagnosis of ulcerative colitis. Two and a half months later, painful ulcers in the oral cavity and a deep longitudinal ulcer in the sigmoid colon were found, and a non‐caseous granuloma was revealed in the biopsy specimens taken from the sigmoid colon. A definitive diagnosis of Crohn's disease was established from these findings and treatment with a corticosteroid was effective.

AB - Abstract: This case report describes a female patient with Crohn 's disease who had diffuse proctosigmoiditis without a longitudinal ulcer or cobblestone appearance at the initial attack. She was treated with sulfasalazine on the presumptive diagnosis of ulcerative colitis. Two and a half months later, painful ulcers in the oral cavity and a deep longitudinal ulcer in the sigmoid colon were found, and a non‐caseous granuloma was revealed in the biopsy specimens taken from the sigmoid colon. A definitive diagnosis of Crohn's disease was established from these findings and treatment with a corticosteroid was effective.

KW - Crohn's disease

KW - diffuse inflammation

KW - esophageal ulcer

KW - oral ulcer

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A Case of Crohn's Disease which Initially Presented with Diffuse Inflammation in the Rectum and Sigmoid Colon

Abstract

Keywords

ASJC Scopus subject areas

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