DIFFICULT DIAGNOSIS OF CROHN’S DISEASE: A CLINICAL CASE

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Abstract

The paper presents a case of Crohn’s disease with isolated jejunum involvement, which exemplifies the difficulty in diagnosing this condition. The clinical picture was characterized by iron-deficiency anemia and hypoproteinemia, while other typical symptoms were absent. The late diagnosis, delayed pathogenetic therapy administration led to multiple jejunum stenosis, complicated by partial small bowel obstruction.

About the authors

N. N. Nikolaeva

Krasnoyarsk State Medical University named after Professor V.F. Voyno-Yasenetsky; 1 Partizana Zheleznyaka ul., Krasnoyarsk, Krasnoyarskiy kray, 660022, Russian Federation

Author for correspondence.
Email: nnikolaeva@inbox.ru

MD, PhD, Professor, Therapy Department in the Institute for Postgraduate Education, Krasnoyarsk State Medical University

Russian Federation

E. G. Grishchenko

Krasnoyarsk State Medical University named after Professor V.F. Voyno-Yasenetsky; 1 Partizana Zheleznyaka ul., Krasnoyarsk, Krasnoyarskiy kray, 660022, Russian Federation

Email: fake@neicon.ru

MD, PhD, Professor, Therapy Department in the Institute for Postgraduate Education, Krasnoyarsk State Medical University

Russian Federation

L. V. Nikolaeva

Krasnoyarsk State Medical University named after Professor V.F. Voyno-Yasenetsky; 1 Partizana Zheleznyaka ul., Krasnoyarsk, Krasnoyarskiy kray, 660022, Russian Federation

Email: fake@neicon.ru

MD, PhD, ass. Professor, Department of Internal Medicine No.1, Krasnoyarsk State Medical University

Russian Federation

O. A. Baykova

Krasnoyarsk State Medical University named after Professor V.F. Voyno-Yasenetsky; 1 Partizana Zheleznyaka ul., Krasnoyarsk, Krasnoyarskiy kray, 660022, Russian Federation

Email: fake@neicon.ru

MD, PhD, ass. Professor, Therapy Department in the Institute for Postgraduate Education, Krasnoyarsk State Medical University

Russian Federation

N. V. Topol’skaya

Krasnoyarsk State Medical University named after Professor V.F. Voyno-Yasenetsky; 1 Partizana Zheleznyaka ul., Krasnoyarsk, Krasnoyarskiy kray, 660022, Russian Federation

Email: fake@neicon.ru

MD, PhD, ass. Professor, Therapy Department in the Institute for Postgraduate Education, Krasnoyarsk State Medical University

Russian Federation

References

  1. Адлер Г. Болезнь Крона и язвенный колит. М.: Гэотар-Медиа; 2001. (Adler G. Crohn’s disease and ulcerative colitis. Moscow: Geotar-Media; 2001. Russian).
  2. Белоусова ЕА. Язвенный колит и болезнь Крона. М.: Триада; 2002. (Belousova EA. Ulcerative colitis and Crohn’s disease. Moscow: Triada; 2002. Russian).
  3. Ивашкин ВТ, ред. Рациональная фармакотерапия заболеваний органов пищеварения: Руководство для практикующих врачей. Т. 4. М.: Литера; 2003. с. 499-521. (Ivashkin VT, editor. Rationale for drug therapy of gastrointestinal and liver diseases. Vol. 4. Moscow: Litera; 2003. p. 499-521. Russian).
  4. Podolsky DK. Inflammatory bowel disease. N Engl J Med. 2002;347(6):417-29.
  5. Григорьева ГА, Мешалкин НЮ. О трудностях диагностики болезни Крона в клинических примерах. Фарматека. 2012;(2):60-4. (Grigor’eva GA, Meshalkin NJu. [Difficulties in diagnosing Crohn’s disease: clinical cases]. Farmateka. 2012;(2): 60-4. Russian).
  6. Шифрин ОС. Болезнь Крона: особенности патогенеза, клиники и лечения. Consilium Medicum. 2001;3(6):261-6. (Shifrin OS. [Crohn’s disease: features of pathogenesis, clinical presentation, and treatment]. Consilium Medicum. 2001;3(6): 261-6. Russian).

Copyright (c) 2014 Nikolaeva N.N., Grishchenko E.G., Nikolaeva L.V., Baykova O.A., Topol’skaya N.V.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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