Image of the month

Here you will find a new interesting image provided by you every month 

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Modified: 7 January 2013, 7:01 PM   User: ECCO Administrator  → 

Image of the month P-ECCO: 

P-ECCO image 1

Lip swealling, aphae and arthritis

Orofacial granulomatosis and arthritis may be due to several different conditions1. However the coexistence of these findings should prompt the clinician to investigate possible Crohn’s disease2;3, using full endoscopic and histological work-up..

Careful observation of the oral mucosa may reveal signs that may lead to further investigation and diagnosis of Crohn’s disease4.

Adequate treatment with exclusive enteral nutrition may lead to quick improvement and remission of active disease (image, 2 weeks after starting treatment):

P-ECCO image 2

Reference List

 

    1.    K. L. Kolho, K. Heiskanen, M. Verkasalo, and A. Pitkaranta, "Orofacial granulomatosis in children--a challenge for diagnosis and treatment," Int.J.Pediatr.Otorhinolaryngol. 75 (2011) 864-7.

    2.    Assche G. Van, A. Dignass, W. Reinisch, C. J. van der Woude, A. Sturm, Vos M. De, M. Guslandi, B. Oldenburg, I. Dotan, P. Marteau, A. Ardizzone, D. C. Baumgart, G. D'Haens, P. Gionchetti, F. Portela, B. Vucelic, J. Soderholm, J. Escher, S. Koletzko, K. L. Kolho, M. Lukas, C. Mottet, H. Tilg, S. Vermeire, F. Carbonnel, A. Cole, G. Novacek, M. Reinshagen, E. Tsianos, K. Herrlinger, B. Oldenburg, Y. Bouhnik, R. Kiesslich, E. Stange, S. Travis, and J. Lindsay, "The second European evidence-based Consensus on the diagnosis and management of Crohn's disease: Special situations," J.Crohns.Colitis. 4 (2010) 63-101.