INTESTINE Vol.20 No.6(8)

Theme Atypical cases of inflammatory bowel disease diagnosed with difficulty
Title Difficult to diagnose cases of IBD ; co-existence of non-IBD enteritis
Publish Date 2016/11
Author Koichi Asano Division of Gastroenterology, Matsuyama Red Cross Hospital / Asano Hospital
Author Koichi Kurahara Division of Gastroenterology, Matsuyama Red Cross Hospital
Author Hiroki Yaita Division of Gastroenterology, Matsuyama Red Cross Hospital
Author Yumi Oshiro Department of Pathology, Matsuyama Red Cross Hospital
Author Masashi Kameda Division of Gastroenterology, Matsuyama Red Cross Hospital
Author Takahide Tanaka Division of Gastroenterology, Matsuyama Red Cross Hospital
Author Motohiro Esaki Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
Author Tadahiko Fuchigami Division of Gastroenterology, Matsuyama Red Cross Hospital
[ Summary ] Atypical intestinal lesions are observed in patients with inflammatory bowel disease (IBD). Many other inflammatory disorders can present intestinal lesions mimicking IBD. The co-existence of IBD and non-IBD enteritis can complicate intestinal findings from imaging tests. Therefore, precise observation of findings of these diseases is required for accurate diagnosis. Because patients with IBD are often treated with immunosuppressive agents, IBD patients may suffer from infectious diseases involving intestinal lesions. The co-existence of IBD as well as infectious enteritis makes it difficult to diagnose both diseases, and increases the risk of recurrence, disease exacerbation, and intractable diseases. Consequently, comprehensive diagnosis using appropriate examination including blood, bacteriological, and imaging tests is required.
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