Related Experiment Videos
[Sheathing periostitis and Crohn's disease]
C Duvoux1, C Veyssier, A Schaeffer
1Service d'Hépato-Gastroentérologie, Hôpital Henri-Mondor, Créteil.
Gastroenterologie Clinique Et Biologique
|October 1, 1989
Summary
Periostitis, an uncommon Crohn's disease complication, presents with bone pain and fever. Early recognition and corticotherapy can improve symptoms in patients with Crohn's disease.
Area of Science:
- Gastroenterology and Rheumatology
- Bone Metabolism and Inflammatory Diseases
Background:
- Crohn's disease (CD) is a chronic inflammatory bowel disease.
- Extradigestive manifestations of CD are well-documented but uncommon.
- Periostitis, characterized by new bone formation on the bone surface, is a rare extradigestive manifestation.
Observation:
- Two distinct cases of periostitis in patients with Crohn's disease are presented.
- Case 1: A young male with moderate digestive symptoms, severe bone pain, and fever mimicking osteomyelitis.
- Case 2: A female patient with pre-existing Crohn's disease experiencing periosteal new bone formation.
Findings:
- Periostitis can present acutely with symptoms simulating infection like osteomyelitis.
- The presentation of periostitis may vary, occurring in newly diagnosed or previously treated Crohn's disease patients.
- Corticosteroid therapy demonstrated efficacy in managing both bone pain and digestive symptoms.
Implications:
- Highlights the importance of considering periostitis in Crohn's disease patients presenting with bone pain and fever.
- Suggests that prompt diagnosis and management, including corticotherapy, can alleviate symptoms associated with periostitis in CD.
- Emphasizes the need for increased clinical awareness of this rare extradigestive manifestation of Crohn's disease.