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[Perianal fistulae and abscesses in children: consider Crohn's disease]

Usha K Coblijn1, Tim G J de Meij, Hugo A Heij

  • 1AMC en VUmc, Kinderchirurgisch Centrum Amsterdam, Amsterdam.

Nederlands Tijdschrift Voor Geneeskunde
|September 26, 2013
PubMed

Insights

Perianal fistulae and abscesses in older children may indicate Crohn's disease. Early diagnosis and treatment of Crohn's disease can resolve these lesions without surgery.

Area of Science:

  • Pediatric Gastroenterology
  • Colorectal Surgery

Background:

  • Perianal fistulae and abscesses are common in infants as isolated issues.
  • In older children, these conditions can signal underlying Crohn's disease.

Observation:

  • Four children with recurrent perianal fistulae and abscesses were studied.
  • These lesions resolved after Crohn's disease diagnosis and treatment.

Findings:

  • Crohn's disease should be suspected in older children with perianal fistulae and abscesses.
  • Treatment focused on Crohn's disease remission led to resolution of perianal lesions.

Implications:

  • Emphasizes the importance of considering Crohn's disease in pediatric perianal conditions.
  • Suggests medical management of Crohn's disease as a primary approach over surgical intervention for associated perianal disease.

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