PERIANAL DISEASE AS INITIAL MANIFESTATION OF CROHN’S DISEASE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 49
Abstract
BACKGROUND Crohn’s disease is a chronic inflammatory disease, which involves almost all parts of body. Perianal manifestations maybe the initial presentation in these patients, but usually includes other systemic manifestations along with it. This study was conducted to determine presence of perianal disease as the initial manifestation in otherwise asymptomatic Crohn’s patients. MATERIALS AND METHODS This study was conducted in Department of Gastroenterology in a tertiary care hospital. All patients presenting with perianal manifestations were evaluated with colonoscopy and other imaging (in selected cases) to identify Crohn’s disease. RESULTS A total of 46 patients were evaluated for perianal disease, out of which 3 patients (6.5%) had evidence of Crohn’s disease in colonoscopy. Major presentation in these patients were skin tags (n=27, 58.6%), anal fissures (n=15, 32.6%) and fistula (n=4, 8.6%). The major symptoms were pain in perianal region (n=38, 82.6%), bleeding PR (n=23, 50%), anal pruritus (n=8, 17.3%) and mucus discharge PR (n=7, 15.2%). CONCLUSION Perianal disease maybe the initial presentation in Crohn’s disease. Judicious evaluation of these perianal lesions helps in early diagnosis of Crohn’s disease.
Authors and Affiliations
Gaurav Shireesh Babar, Thazhath Mavali Ramachandran, Sunil Kumar N, Shine J. Pakalomattom
Keywords
Related Articles
- EP ID EP220165
- DOI 10.18410/jebmh/2017/590
- Views 89
- Downloads 0
A COMPARATIVE STUDY IN LAPAROSCOPIC INGUINAL HERNIA REPAIR BETWEEN FIXATION VS NON-FIXATION OF MESH
INTRODUCTION An inguinal hernia is a weakness in the wall of the abdominal cavity that is large enough to allow escape of soft body tissue or internal organ, especially a part of the intestine. It usually appears as a lu...
DIABETES AND THE EYE: AN OVERVIEW
Diabetes mellitus is major health concern globally, affecting both developed and developing countries. Currently, over 240 million people have been affected worldwide, and this number is expected to reach 370 million by...
SINGLE DOSE INTRAVENOUS CARBOXYMALTOSE VERSUS ORAL IRON THERAPY IN THE TREATMENT OF ANAEMIA IN POSTPARTUM PATIENTS IN A RURAL AREA
BACKGROUND To compare the efficacy and safety of oral and intravenous administration of iron supplement (single dose of ferric carboxymaltose) for treating postpartum anaemia. MATERIALS AND METHODS It is a longitudinal i...
THE COMPARATIVE ANALYSIS OF RENAL FUNCTION IN LIVER DISEASES USING COCKCROFT-GAULT FORMULAE AND CREATININE CLEARANCE
BACKGROUND Kidney dysfunction in liver disease can be due to different aetiologies and can have diverse manifestations. Most of the abnormalities of kidney function in cirrhosis are of functional origin namely, sodium re...
A STUDY OF MORPHOLOGY OF AIR CELLS IN THE MIDDLE TURBINATE AND IT’S RELATIONSHIP WITH SINUSITIS AND DEVIATED NASAL SEPTUM
INTRODUCTION: Concha bullosa, the pneumatisation of the middle turbinate is commonly found as an anatomical variation and is said to be usually associated with deviated nasal septum. It is classified into bulbous, lamell...