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 journalArticle

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 languageEnglish
Pages (from-to)169-174
Number of pages6
JournalDigestive Endoscopy
Volume5
Issue number2
DOIs
Publication statusPublished - 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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