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Related Experiment Videos

Failure to Diagnose Failure to Grow.

Rose1, Strasburger, Penland

  • 1Department of Pediatrics, University of New Mexico School of Medicine, Albuquerque, NM 87131, USA.

Adolescent Medicine (Philadelphia, Pa.)
|October 1, 1996
PubMed
Summary

A 14-year-old female with failure to thrive was diagnosed with Crohn's disease. This inflammatory bowel disease presented with gastrointestinal symptoms and significant weight loss, requiring medical intervention.

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Area of Science:

  • Pediatrics
  • Gastroenterology
  • Inflammatory Bowel Disease

Background:

  • Pediatric inflammatory bowel disease (IBD) can present with failure to thrive and gastrointestinal distress.
  • Crohn's disease, a form of IBD, requires early diagnosis and management to prevent long-term complications.

Purpose of the Study:

  • To present a case of a 14-year-old female diagnosed with Crohn's disease.
  • To highlight the diagnostic challenges and treatment approach for pediatric Crohn's disease.

Main Methods:

  • Clinical presentation review of a 14-year-old female with significant weight loss and gastrointestinal symptoms.
  • Diagnostic colonoscopy revealing chronic aphthous ulcers.
  • Initiation of medical therapy including nutritional support, prednisone, and mesalamine.

Main Results:

  • Diagnosis of Crohn's disease of the large bowel confirmed via colonoscopy.
  • Patient exhibited failure to thrive with significant weight loss and chronic diarrhea.
  • Treatment initiated with nutritional supplements, high-dose prednisone, and mesalamine.

Conclusions:

  • Crohn's disease can manifest in adolescents with nonspecific symptoms, including failure to thrive.
  • Prompt diagnosis and multidisciplinary management are crucial for pediatric IBD patients.
  • Early intervention with corticosteroids and immunomodulators can help manage disease activity and improve outcomes.

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