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Pin Worms Presenting as Suspected Crohn’s Disease
Patient: Female, 24 Final Diagnosis: Pinworms infection Symptoms: Abdominal pain • bloating Medication: — Clinical Procedure: Colonoscopy and biopsy Specialty: Gastroenterology and Hepatology OBJECTIVE: Rare disease BACKGROUND: Inflammatory bowel disease (IBD) is well recognized in developed countri...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4612463/ https://www.ncbi.nlm.nih.gov/pubmed/26471462 http://dx.doi.org/10.12659/AJCR.895566 |
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author | Al-Saffar, Farah Najjar, Nimeh Ibrahim, Saif Clark, Matthew |
author_facet | Al-Saffar, Farah Najjar, Nimeh Ibrahim, Saif Clark, Matthew |
author_sort | Al-Saffar, Farah |
collection | PubMed |
description | Patient: Female, 24 Final Diagnosis: Pinworms infection Symptoms: Abdominal pain • bloating Medication: — Clinical Procedure: Colonoscopy and biopsy Specialty: Gastroenterology and Hepatology OBJECTIVE: Rare disease BACKGROUND: Inflammatory bowel disease (IBD) is well recognized in developed countries and is generally among the differential diagnoses of young patients presenting with refractory diarrhea once other more common etiologies have been excluded. Pinworm infections, on the other hand, are not as common among adults in the United States. CASE REPORT: Based on computed tomography features, a 24-year-old female patient with a history of multiple autoimmune disorders presented with abdominal pain and was diagnosed recently with Crohn’s disease. Colonoscopy was significant for pinworms seen throughout the colon. Colonic biopsy was negative for inflammatory bowel disease (IBD)-related changes. CONCLUSIONS: The diagnosis of IBD is a serious label that requires biopsy confirmation before committing to possibly lifelong treatment and possible adverse effects. Even in the most typical patient and when the presentation and imaging are classical, uncommon conditions (like Enterobius infection in this case) may preclude appropriate diagnosis and management. |
format | Online Article Text |
id | pubmed-4612463 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-46124632015-10-30 Pin Worms Presenting as Suspected Crohn’s Disease Al-Saffar, Farah Najjar, Nimeh Ibrahim, Saif Clark, Matthew Am J Case Rep Articles Patient: Female, 24 Final Diagnosis: Pinworms infection Symptoms: Abdominal pain • bloating Medication: — Clinical Procedure: Colonoscopy and biopsy Specialty: Gastroenterology and Hepatology OBJECTIVE: Rare disease BACKGROUND: Inflammatory bowel disease (IBD) is well recognized in developed countries and is generally among the differential diagnoses of young patients presenting with refractory diarrhea once other more common etiologies have been excluded. Pinworm infections, on the other hand, are not as common among adults in the United States. CASE REPORT: Based on computed tomography features, a 24-year-old female patient with a history of multiple autoimmune disorders presented with abdominal pain and was diagnosed recently with Crohn’s disease. Colonoscopy was significant for pinworms seen throughout the colon. Colonic biopsy was negative for inflammatory bowel disease (IBD)-related changes. CONCLUSIONS: The diagnosis of IBD is a serious label that requires biopsy confirmation before committing to possibly lifelong treatment and possible adverse effects. Even in the most typical patient and when the presentation and imaging are classical, uncommon conditions (like Enterobius infection in this case) may preclude appropriate diagnosis and management. International Scientific Literature, Inc. 2015-10-16 /pmc/articles/PMC4612463/ /pubmed/26471462 http://dx.doi.org/10.12659/AJCR.895566 Text en © Am J Case Rep, 2015 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License |
spellingShingle | Articles Al-Saffar, Farah Najjar, Nimeh Ibrahim, Saif Clark, Matthew Pin Worms Presenting as Suspected Crohn’s Disease |
title | Pin Worms Presenting as Suspected Crohn’s Disease |
title_full | Pin Worms Presenting as Suspected Crohn’s Disease |
title_fullStr | Pin Worms Presenting as Suspected Crohn’s Disease |
title_full_unstemmed | Pin Worms Presenting as Suspected Crohn’s Disease |
title_short | Pin Worms Presenting as Suspected Crohn’s Disease |
title_sort | pin worms presenting as suspected crohn’s disease |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4612463/ https://www.ncbi.nlm.nih.gov/pubmed/26471462 http://dx.doi.org/10.12659/AJCR.895566 |
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