Crohn’s Disease

Crohn’s Disease (CD):
Also called regional enteritis, granulomatous ileitis, ileocolitis. May affect any part of GI tract (60% ileocolonic). Prevalence of 26-75/100 000 – believed to have increased in recent decades. Usually diagnosed in ages 15-40years. More common in those of Jewish descent.

Presenting features – often depend on site of involvement - “unwell”, fever, diarrhoea, abdominal pain, weight loss, palpable mass in lower right quadrant or a feeling or “fullness”.

Involvement of foot – ankle oedema/peripheral arthritis and enthesitis (enteropathic spondyloarthropathy)

Treatment – nutritional needs advice; patient support groups; drugs; surgical (small bowel or ileal resection)

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