Unusual onset and course of Crohn’s disease in children
I. S. Samolygo,
A. I. Aminova,
T. Yu. Yeryushova,
B. O. Matsukatova,
K. A. Andrianova,
A. V. Gundina,
S. I. Erdes https://doi.org/10.31146/1682-8658-ecg-226-6-221-224
Abstract
The purpose of the article is to demonstrate a clinical case of Crohn’s disease in an 8-year-old child. Materials and methods: The given clinical example is a case of a non-classical variant of the course of Crohn’s disease in an 8-year-old child who debuted with an upper respiratory tract lesion in combination with abdominal pain against the background of long courses of antibacterial therapy. Conclusion: This clinical case demonstrates the complexity of the diagnostic search, the need for careful history collection and differential diagnosis.
About the Authors
I. S. Samolygo
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
A. I. Aminova
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
T. Yu. Yeryushova
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
B. O. Matsukatova
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
K. A. Andrianova
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
A. V. Gundina
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
S. I. Erdes
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
References
1. Yu Y. R., Rodriguez J. R. Clinical presentation of Crohn’s, ulcerative colitis, and indeterminate colitis: Symptoms, extraintestinal manifestations, and disease phenotypes. Semin Pediatr Surg. 2017;26(6):349-355. doi: 10.1053/j.sempedsurg.2017.10.003.
2. Benchimol E. I., Fortinsky K. J., Gozdyra P. et al. Epidemiology of pediatric inflammatory bowel disease: a systematic review of international trends. Inflamm Bowel Dis. 2011;17(1):423-39. doi: 10.1002/ibd.21349.
3. Pigneur B., Seksik P., Viola S. et al. Natural history of Crohn’s disease: comparison between childhood- and adult-onset disease. Inflamm Bowel Dis, 2010;16(6):953-61. doi: 10.1002/ibd.21152.
4. Ruemmele F. M., Veres G., Kolho K. L. et al. European Crohn’s and Colitis Organisation; European Society of Pediatric Gastroenterology, Hepatology and Nutrition. Consensus guidelines of ECCO/ESPGHAN on the medical management of pediatric Crohn’s disease. J Crohns Colitis. 2014;8(10):1179-207. doi: 10.1016/j.crohns.2014.04.005.
5. Plataki M., Tzortzaki E., Lambiri I. et al. Severe airway stenosis associated with Crohn’s disease: case report. BMC Pulm Med. 2006;7(6):7. doi: 10.1186/1471-2466-6-7.
6. Xia K., Wolf J., Friedman S., Carr-Locke D. L. Granulomatous tracheo-bronchitis associated with Crohn’s disease. MedGenMed. 2004;6(1):18.
7. Ruemmele F. M., Veres G., Kolho K. L. et al. European Crohn’s and Colitis Organisation; European Society of Pediatric Gastroenterology, Hepatology and Nutrition. Consensus guidelines of ECCO/ESPGHAN on the medical management of pediatric Crohn’s disease. J Crohns Colitis. 2014;8(10):1179-207. doi: 10.1016/j.crohns.2014.04.005.
8. Feakins R. M. British Society of Gastroenterology. Inflammatory bowel disease biopsies: updated British Society of Gastroenterology reporting guidelines. J Clin Pathol. 2013;66(12):1005-26. doi: 10.1136/jclinpath-2013-201885.
9. Feakins R., Torres J., Borralho-Nunes P. et al. Differential Diagnosis of Inflammatory Bowel Disease. J Crohns Colitis. 2022;16(3):343-368. doi: 10.1093/ecco-jcc/jjab141.
10. Theochari N. A., Stefanopoulos A., Mylonas K. S. Antibiotics exposure and risk of inflammatory bowel disease: a systematic review. Scand J Gastroenterol. 2018;53(1):1-7. doi: 1080/00365521.2017.1386711.
11. Bernstein C. N. Review article: changes in the epidemiology of inflammatory bowel disease-clues for aetiology. Aliment Pharmacol Ther. 2017;46(10):911-919. doi: 10.1111/apt.14338.
Review
For citations:
Samolygo I.S., Aminova A.I., Yeryushova T.Yu., Matsukatova B.O., Andrianova K.A., Gundina A.V., Erdes S.I. Unusual onset and course of Crohn’s disease in children. Experimental and Clinical Gastroenterology. 2024;(6):221-224. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-226-6-221-224
Views:
179
Email this article 