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To the Editor:A 38-year-old woman was admitted for axial articular pain associated to a bloody diarrhoea, abdominal pain, weight loss and fever. She also complains of odinophagia, progressive dysphagia, nausea and chest pain; also, she had an history of perianal fistulae.Laboratory findings revealed a moderate anemia (Hb 9.7 g/dl) with an increased ESR and CRP.A colonoscopy with histologic examination indicated a severe Crohn's disease (CD) of the terminal ileum and right colon. A CT scan excluded active fistulae or perianal abscesses while MRI showed the presence of a sacro-ileitis complicating CD.An upper endoscopy revealed deep ulcers, aphthae, and …

Severe esophageal Crohn's disease: Healing of lesions after 1 week therapy with infliximab