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Pulmonary and hepatic nodular lesions precede the diagnosis of Crohn’s disease in an 8‐year‐old girl: a case study and review of the literature
Author(s) -
PainPrado Eloïse,
Rais Azza,
Madhi Fouad,
Orzechowski Christine,
Dubern Beatrice,
Epaud Ralph
Publication year - 2012
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.2011.02505.x
Subject(s) - medicine , sarcoidosis , girl , differential diagnosis , lung , crohn's disease , disease , presentation (obstetrics) , pathology , dermatology , radiology , developmental psychology , psychology
Aim: To describe a novel clinical observation and to provide a review the literature about lung involvement in children with Crohn disease (CD). Methods: An 8‐year‐old girl presented with pulmonary and hepatic granulomatous lesions, followed 6 months later by abdominal and general symptoms, resulting in the diagnosis of CD. Differential diagnosis between CD and sarcoidosis and a review of the literature about lung lesions in children with CD are discussed. Results: Crohn disease can be associated with pulmonary lesions, developing before, at the same time or after occurrence of digestive symptoms. Conclusions: This report highlights not only the importance of looking for lung lesions in CD but also underscores the necessity of considering the diagnosis of CD in incomplete presentation evoking sarcoidosis.