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[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
PubMed
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.

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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.

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