A Case of a Two-Month-Old Boy Diagnosed with Infantile Crohn’s Disease Based on an Atypical Perianal Lesion
Inflammatory bowel disease is rare in infants, and the early diagnosis is very important. We herein report an infant who received an early diagnosis of infantile Crohn’s disease (CD). A two-month-old boy presented with bloody stool. He developed a poor sucking tendency and a painful perianal lesion...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2020/8832856 |
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| author | Kengo Nakaya Yasushi Iinuma Yutaka Hirayama Yu Sugai Shotaro Taki |
| author_facet | Kengo Nakaya Yasushi Iinuma Yutaka Hirayama Yu Sugai Shotaro Taki |
| author_sort | Kengo Nakaya |
| collection | DOAJ |
| description | Inflammatory bowel disease is rare in infants, and the early diagnosis is very important. We herein report an infant who received an early diagnosis of infantile Crohn’s disease (CD). A two-month-old boy presented with bloody stool. He developed a poor sucking tendency and a painful perianal lesion at three months of age. He was suspected of having infantile CD because of his atypical perianal lesion. Colonoscopy revealed that his perianal lesion had induced rectal longitudinal ulcers. Histology showed no granulomas but patchy inflammation reaching the submucosal layer. He was diagnosed with infantile CD based on the Japanese criteria. CD should be suspected in infants with atypical perianal lesions, irrespective of their age. Early colonoscopy with histology should be considered in these cases in order to prevent adverse outcomes in children. |
| format | Article |
| id | doaj-art-7b1557845bce4c4cb2a83d98216ccc5f |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-7b1557845bce4c4cb2a83d98216ccc5f2025-08-20T03:35:06ZengWileyCase Reports in Pediatrics2090-68032090-68112020-01-01202010.1155/2020/88328568832856A Case of a Two-Month-Old Boy Diagnosed with Infantile Crohn’s Disease Based on an Atypical Perianal LesionKengo Nakaya0Yasushi Iinuma1Yutaka Hirayama2Yu Sugai3Shotaro Taki4Department of Pediatric Surgery, Niigata City General Hospital, Shumoku 463-7, Chuo-ku, Niigata 950-1197, JapanDepartment of Pediatric Surgery, Niigata City General Hospital, Shumoku 463-7, Chuo-ku, Niigata 950-1197, JapanDepartment of Pediatric Surgery, Niigata City General Hospital, Shumoku 463-7, Chuo-ku, Niigata 950-1197, JapanDepartment of Pediatric Surgery, Niigata City General Hospital, Shumoku 463-7, Chuo-ku, Niigata 950-1197, JapanDepartment of Pediatric Surgery, Niigata City General Hospital, Shumoku 463-7, Chuo-ku, Niigata 950-1197, JapanInflammatory bowel disease is rare in infants, and the early diagnosis is very important. We herein report an infant who received an early diagnosis of infantile Crohn’s disease (CD). A two-month-old boy presented with bloody stool. He developed a poor sucking tendency and a painful perianal lesion at three months of age. He was suspected of having infantile CD because of his atypical perianal lesion. Colonoscopy revealed that his perianal lesion had induced rectal longitudinal ulcers. Histology showed no granulomas but patchy inflammation reaching the submucosal layer. He was diagnosed with infantile CD based on the Japanese criteria. CD should be suspected in infants with atypical perianal lesions, irrespective of their age. Early colonoscopy with histology should be considered in these cases in order to prevent adverse outcomes in children.http://dx.doi.org/10.1155/2020/8832856 |
| spellingShingle | Kengo Nakaya Yasushi Iinuma Yutaka Hirayama Yu Sugai Shotaro Taki A Case of a Two-Month-Old Boy Diagnosed with Infantile Crohn’s Disease Based on an Atypical Perianal Lesion Case Reports in Pediatrics |
| title | A Case of a Two-Month-Old Boy Diagnosed with Infantile Crohn’s Disease Based on an Atypical Perianal Lesion |
| title_full | A Case of a Two-Month-Old Boy Diagnosed with Infantile Crohn’s Disease Based on an Atypical Perianal Lesion |
| title_fullStr | A Case of a Two-Month-Old Boy Diagnosed with Infantile Crohn’s Disease Based on an Atypical Perianal Lesion |
| title_full_unstemmed | A Case of a Two-Month-Old Boy Diagnosed with Infantile Crohn’s Disease Based on an Atypical Perianal Lesion |
| title_short | A Case of a Two-Month-Old Boy Diagnosed with Infantile Crohn’s Disease Based on an Atypical Perianal Lesion |
| title_sort | case of a two month old boy diagnosed with infantile crohn s disease based on an atypical perianal lesion |
| url | http://dx.doi.org/10.1155/2020/8832856 |
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