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TitleOesophageal presentation of Crohn's disease
Author(s)Monteiro, Sara
Moreira, Maria João
Ribeiro, José Manuel
Cotter, José Almeida Berkeley
Issue date2-Jan-2017
PublisherBMJ Publishing Group
JournalBMJ Case Reports
CitationMonteiro, S., Moreira, M. J., Ribeiro, J. M., & Cotter, J. (2017). Oesophageal presentation of Crohn's disease. BMJ case reports, 2017, bcr2016217960
Abstract(s)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.
Publisher version
AccessOpen access
Appears in Collections:ICVS - Artigos em Revistas Internacionais com Referee

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