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http://www.wjgnet.com/1007-9327/12/3204.pdf
Good paper!!
:shifty:
CD may have an insidious onset with abdominal pain and weight loss which may contribute to a delay in diagnosis.
If chronic diarrhea or rectal bleeding are present, diagnosis may be more expeditious. Non-specific symptoms of anorexia, fatigue, delayed sexual maturation, and decreased linear growth may be present but not immediately noticed and if noticed may not prompt a workup for IBD because of their nonspecific nature.
Good paper!!
Table 2 Manifestations of IBD[2,4,5,12,13]
System Manifestation
Symptom CD (%) UC (%)
Generalized
Ocular
Oral
Pulmonary Vascular Hepatobiliary
Pancreatic Gastrointestinal
Renal/Urinary
Hematologic
Endocrine Integumentary
Musculoskeletal
Fever
Weight loss
Malaise
Anorexia
Fatigue
Nausea/vomiting
Uveitis
Episcleritis
Iritis
Conjunctivitis
Cheilitis
Stomatitis
Apthae
Pulmonaryvasculitis
Fibrosing alveolitis
Vasculitis
Thrombosis
Primary Sclerosing Cholangitis Hepatitis
Cholelithiasis
Jaundice
Pancreatitis
Abdominalpain Nausea/vomiting
Diarrhea
Hematochezia
Nephrolithiasis
Obstructive hydronephrosis Enterovesical fistula
UTI
Amyloidosis Irondeficiencyanemia
Anemia of chronic disease Thrombocytosis
Vit B12 deficiency
Autoimmune hemolytic anemia Decreased growth velocity Delayed sexual maturation Erythema nodosum
Pyoderma gangrenosum Perianal disease
Osteopenia and osteoporosis Arthritis/Arthralgias Ankylosing spondylitis
:shifty: