RT Book, Section
A1 Patel, Nisha
A1 Alkhouri, Naim
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114872304
T1 Inflammatory Bowel Disease
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114872304
RD 2023/03/21
AB A  12-year-old  female  presents  with  cramping  abdominal  pain,  a  ten  pound  weight  loss,  diarrhea,  and  bloody  stools.  Physical  examination  is  remarkable  for  oral  aphthous  ulcers,  mild  right  lower  quadrant  tenderness,  and  perianal  skin  tag  at  six  o'clock  position.  Further  laboratory  work  up  reveals  anemia  (hemoglobin  7.2  g/dL)  and  elevated  erythrocyte  sedimentation  rate  (41  mm/hr).  She  was  referred  to  pediatric  gastroenterology  and  underwent  an  esophagogastroduodenoscopy  and  colonoscopy,  which  was  visually  and  histologically  remarkable  for  gastritis,  duodenitis,  pan-colitis,  and  terminal  ileitis  (Figure  59-1  and  59-2).  She  was  diagnosed  with  Crohn  disease.