Clinical symptoms |
Fever (+++)Abdominal pain (++)Diarrhea (++/+++)Weight loss (−) |
Abdominal pain (+++)Diarrhea (++)Weight loss (++)Fever (+) |
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 |