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Psychiatric presentation of Crohn's disease. Diagnostic delay and increased morbidity

H Rickards1, M Prendergast, I W Booth

  • 1Queen Elizabeth Psychiatric Hospital, Edgbaston, Birmingham.

The British Journal of Psychiatry : the Journal of Mental Science
|February 1, 1994
PubMed

Insights

Children presenting with psychiatric symptoms alongside abdominal issues may have undiagnosed Crohn's disease. Early diagnosis is crucial to prevent increased illness severity in pediatric Crohn's disease patients.

Area of Science:

  • Pediatric Gastroenterology
  • Child Psychiatry

Background:

  • Crohn's disease can manifest with diverse symptoms in children.
  • Psychiatric symptoms are sometimes overlooked as indicators of underlying physical conditions.

Observation:

  • Four children initially presented to child psychiatric clinics with varied symptoms.
  • These children were later diagnosed with Crohn's disease.
  • A significant diagnostic delay was noted compared to children with primarily gastrointestinal symptoms.

Findings:

  • Combined abdominal and psychiatric symptoms in children can indicate Crohn's disease.
  • Diagnostic delays in these cases are associated with increased morbidity.
  • Children with combined symptoms require thorough physical, inflammatory, and nutritional assessments.

Implications:

  • Healthcare providers should consider Crohn's disease in children with combined abdominal and psychiatric symptoms.
  • Serial monitoring of physical and nutritional status is essential for early detection and management.
  • Prompt diagnosis can mitigate the increased morbidity associated with delayed recognition of pediatric Crohn's disease.

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