Recurrent Crohn's Disease in Which Follow-up Observations Extending over Seven and a Half Years Were Made, Report of a Case M. Tada 1 , S. Shimizu 1 , S. Nishimura 1 , K. Kawai 2 1The Third Department of Internal Medicine, Kyoto First Red Cross Hospital 2Department of Preventive Medicine, Kyoto Prefectural University of Medicine pp.341-344
Published Date 1984/3/25
DOI https://doi.org/10.11477/mf.1403106985
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 The results of the follow-up observations extending over seven and a half years of recurrent Crohn's disease were reported. The patient was a 44 year-old man with Crohn's disease who had undergone surgical interventions five times during the last twenty-two years. He developed a few ulcerative lesions with an irregular margin at the site of the anastomosis twenty-eight months after the last operation, for which conservative therapy with corticosteroid and saliclyazosulfapyridine was initiated. Follow-up observations repeated thereafter revealed fluctuation of the inflammatory picture and the control of the disease was extremely difficult but remission was achieved at last. The mucosal appearance observed recently shares some similarity with that of atrophic scarring seen in the healing stage of intestinal tuberculosis, which suggested the difficulty in differentiating Crohn's disease from other inflammatory bowel diseases.

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