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Clinical characteristics of Crohn s disease in Qatar
Mohammed T Butt1, Abdulbari Bener, Saad Al-Kaabi
1Gastroenterology Section, Department of Medicine, Hamad General Hospital and Hamad Medical Corporation, Doha, State of Qatar.
Insights
This study assessed Crohn's disease (CD) in Qatar, finding ileo-colonic disease most common. Abdominal pain was the most frequent symptom among CD patients.
Area of Science:
- Gastroenterology
- Clinical Medicine
- Epidemiology
Background:
- Crohn's disease (CD) is a chronic inflammatory bowel disease with varied clinical presentations.
- Understanding the specific characteristics of CD in different geographic regions is crucial for effective management.
Purpose of the Study:
- To evaluate the clinical features and demographic profiles of Crohn's disease patients in Qatar.
Main Methods:
- A retrospective descriptive study analyzing data from 50 CD patients.
- Data collected included age, gender, disease location, symptoms, and risk factors over an 8-year period.
- Diagnosis was confirmed using International Classification of Disease ninth revision (ICD-9) criteria.
Main Results:
- The study population comprised 60% males and 40% females, with 62% being Qatari nationals.
- The ileo-colonic region was most frequently affected (52%), followed by colonic (24%) and ileal (24%) disease.
- Abdominal pain (84%), weight loss (80%), and diarrhea (70%) were the predominant symptoms. Anal signs were common in patients with fistulas (84.2%).
Conclusions:
- Ileo-colonic involvement is relatively frequent in Crohn's disease patients in Qatar.
- Abdominal pain is the most commonly reported symptom, highlighting its significance in clinical presentation.
Objective:
To assess the clinical characteristics of Crohn's disease (CD) in Qatar.
Methods:
This is a retrospective descriptive study. We studied 50 CD patients admitted to Hamad General Hospital over a period of 8 years from January 1995 to December 2002. We retrospectively collected and analyzed the demographic and clinical data. We made the diagnostic classification of definite CD in accordance with the criteria based on the International Classification of Disease ninth revision [ICD-9]. We based the obtained information on the following parameters: the age at the time of admission, gender and Crohn's risk factor profiles.
Results:
Of the studied population, 60% were males and 40% females. Sixty-two percent were Qataris and 38% expatriates. Most of the subjects were <40 years of age (80%). Fifty-two percent had ileo-colonic disease, 24% colonic and 24% ileal disease. The majority of the Crohn's patients had the symptom of abdominal pain (84%), followed by weight loss (80%) and diarrhea (70%). Pallor sign was most frequent in patients with inflammatory CD (76.9%) and obstructive CD (66.7%), whereas we found the anal signs in patients with fistulas (84.2%).
Conclusion:
The study showed a relatively high frequency of ileo-colonic Crohn's disease compared to colonic and ileal diseases. We observed that the most frequent symptom is abdominal pain.
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