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Notes:
Volume 7, Issue 6 (Suppl)
J Gastrointest Dig Syst, an open access journal
ISSN: 2161-069X
Page 52
December 07-08, 2017 Madrid, Spain
&
13
th
International Conference on Clinical Gastroenterology & Hepatology
2
nd
International Conference on Digestive Diseases
CO-ORGANIZED EVENT
A 35-year-old patient with abdominal pain, mesenteric lymphadenopathy and Sweet’s syndrome-an
atypical presentation of Crohn’s disease
M Birnie, N Arulanatham
and
N Thompson
North Cumbria University Hospital Trust, UK
C
rohn’s disease is a form of inflammatory bowel disease that typically presents with abdominal pain, weight loss and
bloody diarrhoea. Sweet’s syndrome is a neutrophilic dermatosis which presents with erythematous papules and is
associated with Crohn’s disease amongst other conditions. We present an unusual case of Crohn’s disease where abdominal
pain, extensive mesenteric lymphadenopathy and Sweet’s syndrome were the initial presenting features. We describe how
diagnostic uncertainty led to extensive investigations and recurrent admissions. Initially the patient was treated as having
Yersinia infection due to suggestive histology although serology was negative. Yersinia infection, gastrointestinal tuberculosis
and Crohn’s disease may have similar radiological and histological appearances so differentiation can be difficult. We discuss
the impact of delayed diagnosis (seventeen months) and share some interesting points on the difficulties of diagnosing Crohn’s
disease on mesenteric lymph node histology alone, especially when macroscopic examination of the bowel wall is normal.
Treatment for Crohn’s disease resulted in improvement of her symptoms and return to work.
Biography
Birnie is currently a core medical trainee working for the North West deanery in Stockport, England. She studied medicine at the University of Lancaster, qualifying
in 2015. Her current interest is acute medicine, in which she is hoping to specialise in this area.
maria.birnie@doctors.org.ukM Birnie et al., J Gastrointest Dig Syst 2017, 7:6(Suppl)
DOI: 10.4172/2161-069X-C1-059