Endoscopic case
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 termin...
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| Format: | Article |
| Language: | English |
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Centro Hospitalar do Porto
2017-01-01
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| Series: | Nascer e Crescer |
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| Online Access: | http://revistas.rcaap.pt/nascercrescer/article/view/10669 |
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doaj-1f406e211cc94e39b918788540cdb0e02020-11-24T23:16:13ZengCentro Hospitalar do PortoNascer e Crescer 0872-07540872-07542017-01-012231871887195Endoscopic caseFernando Pereira0Unidade de Gastrenterologia Pediátrica do Centro Hospitalar do PortoWe 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.http://revistas.rcaap.pt/nascercrescer/article/view/10669AnemiaDoença de CrohnInfliximab |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Fernando Pereira |
| spellingShingle |
Fernando Pereira Endoscopic case Nascer e Crescer Anemia Doença de Crohn Infliximab |
| author_facet |
Fernando Pereira |
| author_sort |
Fernando Pereira |
| title |
Endoscopic case |
| title_short |
Endoscopic case |
| title_full |
Endoscopic case |
| title_fullStr |
Endoscopic case |
| title_full_unstemmed |
Endoscopic case |
| title_sort |
endoscopic case |
| publisher |
Centro Hospitalar do Porto |
| series |
Nascer e Crescer |
| issn |
0872-0754 0872-0754 |
| publishDate |
2017-01-01 |
| description |
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. |
| topic |
Anemia Doença de Crohn Infliximab |
| url |
http://revistas.rcaap.pt/nascercrescer/article/view/10669 |
| work_keys_str_mv |
AT fernandopereira endoscopiccase |
| _version_ |
1716341280689094656 |