Yersiniosis: a forgotten mimicker and confounder of Crohn’s disease
Iwona Zawada
Department of Gastroenterology, Pomeranian Medical UniversitySzczecin, Poland
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, Krzysztof Dąbkowski
Department of Gastroenterology, Pomeranian Medical UniversitySzczecin, Poland
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, Wojciech Marlicz
Department of Gastroenterology, Pomeranian Medical UniversitySzczecin, Poland
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e Teresa Starzyńska
Department of Gastroenterology, Pomeranian Medical UniversitySzczecin, Poland
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10 mag 2022
INFORMAZIONI SU QUESTO ARTICOLO
Categoria dell'articolo: Review
Pubblicato online: 10 mag 2022
Pagine: 104 - 110
Ricevuto: 19 feb 2021
Accettato: 17 nov 2021
DOI: https://doi.org/10.2478/ahem-2022-0002
Parole chiave
© 2022 Iwona Zawada et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
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Differential diagnosis of Yersinia enterocolitica and Crohn’s disease
| Clinical symptoms | Fever (+++) |
Abdominal pain (+++) |
| Cause | Infectious | Multifactorial: genetic, environmental, immune |
| Course | Acute or subacute (few days/weeks) | Lifelong with periods of aggravation and/or remissions |
| Location | Terminal ileum, appendix, rarely colon | Terminal ileum, colon, whole gastrointestinal tract |
| Extraintestinal involvement | Lymph nodes, liver, spleen, joints, skin, cerebrospinal fluid | Liver, joints, skin, eyes |
| Endoscopy | Round or oval mucosal elevations, small ulcers | Serpiginous and longitudinal ulcers forming a cobblestone pattern, fistula, perianal lesions, intestinal stricture |
| Histopathology | Nonspecific infiltration with dominance of mononuclear cells | Multiple granulomas with abscesses present in bowel wall and follicles |
| Treatment | Antibiotics | Steroid/immunosuppressive |