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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Ribeiro, José Manuel Cotter, José Moreira, Maria João Monteiro, Sara |
| Description | Author Affiliation: Monteiro S ( Department of Gastroenterology, Hospital da Senhora da Oliveira-Guimarães, Guimarães, Portugal.); Moreira MJ ( Department of Gastroenterology, Hospital da Senhora da Oliveira-Guimarães, Guimarães, Portugal.); Ribeiro JM ( Department of Gastroenterology, Hospital da Senhora da Oliveira-Guimarães, Guimarães, Portugal.); Cotter J ( Department of Gastroenterology, Hospital da Senhora da Oliveira-Guimarães, Guimarães, Portugal.) |
| Abstract | Crohn's disease (CD) is characterised by a transmural inflammatory process, which can affect any part of the digestive tract; however, CD with oesophageal presentation is rare. We report a case of a previously healthy young woman with symptoms of dysphagia, odynophagia, chest pain and weight loss, who presented oesophageal ulcers at upper endoscopy and whose histology revealed granulomatous oesophagitis. After complementary study, a mild ileocaecal involvement of CD was demonstrated. The patient became asymptomatic with proton pump inhibitor and a course of prednisolone. Mucosal healing was obtained after maintenance therapy with azathioprine. In the absence of extraoesophageal symptoms, oesophageal CD may be overlooked. CD must always be considered as differential diagnosis in the presence of oesophageal ulcers. |
| Volume Number | 2017 |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Chest Pain Etiology Crohn Disease Complications Deglutition Disorders Esophagitis Azathioprine Therapeutic Use Diagnosis Pathology Endoscopy, Digestive System Female Glucocorticoids Humans Immunosuppressive Agents Maintenance Chemotherapy Prednisolone Proton Pump Inhibitors Young Adult Case Reports Journal Article Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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