Unclassifiable Ulcers of the Bowel Tsuneyoshi Yao 1 , Akinori Iwashita 2 1Department of Internal Medicine, Fukuoka University Chikushi Hospital 2Department of Pathology, Fukuoka University Chikushi Hospital pp.1119-1131
Published Date 1989/10/25
DOI https://doi.org/10.11477/mf.1403106583
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 On classifying inflammatory diseases of the bowel it has become important in the last ten years to take into consideration disease phases such as early, flourishing, or cicatrizing phase. Diseases at earlier stages have now become diagnosable, such as Crohn's disease solely with aphthous changes without longitudinal ulcers or cobblestoning, and mucosal prolapse syndrome at early stage before elevations or ulcerations develop. Regarding flourishing phase, acute hemorrhagic rectal ulcer is now considered a clinical entity, and “simple ulcer” a comprehensive term to describe various disorders with a common feature. With respect to cicatrizing phase, intestinal tuberculosis with or without active ulcers in which neither caseation necrosis nor tuberculous bacilli are demonstrated, is now called “probable” intestinal tuberculosis.

 The diagnosis of inflammatory diseases of the bowel, as a result, should be based not only on microscopic findings but also on clinical and macroscopic features.

Copyright © 1989, Igaku-Shoin Ltd. All rights reserved.


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