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Crohn disease in the elderly.

P J Feczko, J Barbour, R D Halpert

    Radiology
    |November 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Crohn disease onset after age 50 is not uncommon, presenting with typical symptoms like diarrhea and abdominal pain. Early diagnosis of this elderly-onset inflammatory bowel disease is crucial for effective management.

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    Area of Science:

    • Gastroenterology
    • Internal Medicine
    • Inflammatory Bowel Disease

    Background:

    • Crohn disease (CD) typically presents in younger individuals.
    • Late-onset CD, diagnosed after age 50, is increasingly recognized.
    • Understanding the characteristics of CD in the elderly is important for diagnosis and management.

    Purpose of the Study:

    • To describe the clinical presentation, disease characteristics, and outcomes of elderly patients with Crohn disease.
    • To determine the incidence of late-onset Crohn disease in a specific patient cohort.

    Main Methods:

    • Retrospective review of 14 patients diagnosed with Crohn disease after age 50 over a 2-year period.
    • Analysis of clinical symptoms, disease location, radiographic findings, and extraintestinal manifestations.

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  • Comparison with typical Crohn disease presentations in younger patients.
  • Main Results:

    • 14% of all studied Crohn disease patients were diagnosed after age 50.
    • Common symptoms included diarrhea, abdominal pain, and perianal disease.
    • Colonic involvement (n=10) was more frequent than terminal ileal disease (n=7).
    • Radiographic findings and extraintestinal complications (renal calculi, ankylosing spondylitis) were noted.
    • Disease presentation occasionally mimicked neoplasia or diverticulitis.

    Conclusions:

    • Late-onset Crohn disease is a significant entity, accounting for a notable proportion of new diagnoses.
    • Clinical and radiographic features are often similar to younger patients, but awareness of potential mimics is necessary.
    • Prompt diagnosis and appropriate therapy are essential for managing Crohn disease in the elderly population.