PERIANAL DISEASE IN CHILDHOOD CROHNS-DISEASE - FREQUENCY, CHARACTERISTICS, AND PROGNOSTIC-SIGNIFICANCE

被引:0
作者
DAVIDSON, PM [1 ]
MCLAIN, BI [1 ]
BEASLEY, SW [1 ]
STOKES, KB [1 ]
机构
[1] ROYAL CHILDRENS HOSP,DEPT GEN SURG,PARKVILLE,VIC 3052,AUSTRALIA
关键词
CROHNS DISEASE; PERIANAL ABSCESS; PERIANAL FISTULA; ISCHIORECTAL ABSCESS;
D O I
暂无
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Perianal disease (PAD) occurs in 36% of children with Crohn's disease. Its development may precede other manifestations of the disease (3 of 26 patients). PAD ranges in severity from anal fissures and fistulae and localised perianal abscesses to extensive ischiorectal suppuration. Skin tags also occur, and although asymptomatic, may give a valuable clue to the diagnosis of Crohn's disease. Recurrent perianal or ischiorectal sepsis produce the greatest morbidity. PAD may undergo spontaneous resolution without surgical intervention. In contrast, treating patients with severe and chronic PAD may prove frustating and result in time lost from school.
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页码:174 / 176
页数:3
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