Endoscopic case

  • Fernando Pereira Pediatric Gastrenterology Unit of Centro Hospitalar do Porto
Keywords: Anaemia, Crohn Disease, Infliximab

Abstract

We present the case of a ten-year-old female patient referred to Gastroenterolgy consultation for abdominal pain and cramping, usually worse after eating, recurring diarrhoea, hypochromic and microcytic anaemia with low serum iron and ferritin levels. Moderate to severe Crohn’s disease of the terminal ileum e right colon (L3) was diagnosed, based on endoscopic image and biopsy. The patient was treated with prednisone and azathioprine, but after one year of treatment she was steroids dependent and treatment was switched to infliximab. One year after beginning this treatment, the patient achieved remission (clinical and laboratorial parameters). A control colonoscopy showed mucosal healing with scars and deformation with stenosis of ileocecal valve (Figures 1-2). Surgical intervention will be probably necessary in near future.

References

de Bie Ci, Buderus S, Sandhu BK, de Ridder L, Paerregaard A, Veres G, et al. EUROKIDS Porto IBD Working group of

ESPGHAN “Diagnostic workup of pediatric patients with inflammatory bowel disease in Europe: results of a 5 -year audit of the Eurokids registry”. J Pediatr Gastroenterol Nutr 2012; 54:374 -80.

de Bie CI, Paerregaard A, Kolacek S, Ruemmele FM, Koletzko S, Fell JM, et al. EUROKIDS Porto IBD Working Group of ESPEGHAN “Disease phenotype at diagnosis in pediatric Crohn’s disease: 5 year analyses of the EUROKIDS Registry”. Inflamm Bowel Dis 2013; 19:378 -85.

Published
2017-01-16
Section
What is your Diagnosis?