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Crohn's disease
Malathi Sathiyasekaran1, So Shivbalan
1Kanchi Kamakata CHILDS Trust Hospital, Chennai, India. ID:bwcs@md4.vsnl.net.in
Insights
Crohn
Area of Science:
- Gastroenterology and immunology.
Background:
- Crohn's disease (CD) is a chronic gastrointestinal inflammatory condition.
- Historically rare in India, CD incidence is rising in adults, particularly in Southern India.
- CD typically affects adolescents and young adults, presenting with varied clinical features and complications.
Framework:
- CD involves transmural granulomatous inflammation of the GI tract in a discontinuous pattern.
- Extraintestinal manifestations are recognized aspects of the disease.
- Pathophysiological insights are guiding new management strategies.
Implementation:
- Pediatrician recognition of CD in children and adolescents is crucial.
- Accurate diagnosis and timely management are essential for pediatric patients.
- Ongoing research into pathophysiology informs therapeutic advancements.
Implications:
- Increased awareness and early diagnosis improve pediatric Crohn's disease outcomes.
- Understanding CD pathophysiology offers novel therapeutic targets.
- The rising incidence necessitates enhanced surveillance and management protocols in India.
Abstract:
Crohn's disease is a chronic inflammatory disease of the gastrointestinal tract and is an important cause of morbidity in children and adolescents. In India Crohn's disease (CD) was considered a rare disease, however, during the last 10 years CD in adults is being reported from several centers especially in Southern India. CD is characterized by transmural granulomatous inflammation involving any part of the gastrointestinal tract in a discontinuous manner. The peak incidence of Crohn's disease occurs during the adolescent and young adult years. The clinical presentation and complications are varied and several extraintestinal manifestations have been recognized. The understanding of the pathophysiology has opened new avenues in the management. The recognition of this problem in children and adolescents by pediatricians is necessary for proper diagnosis and management.
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