Orofacial Crohn’s Disease: A Case Report

Crohn’s disease (CD) is a chronic disease of the digestive system. It is characterized by lesions predominantly located in the small intestine and colon, although they may also occur in any segment of the gut, including the oral cavity. The involvement of oral mucosa in CD may be underreported, as u...

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Main Authors: Miray Karakoyun, Ezgi Kiran Taşcı, Murat Sezak, Burçe Emine Yaşar, Funda Çetin
Format: Article
Language:English
Published: Galenos Yayinevi 2019-12-01
Series:Journal of Pediatric Research
Subjects:
Online Access: http://jpedres.org/archives/archive-detail/article-preview/orofacial-crohns-disease-a-case-report/25489
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author Miray Karakoyun
Ezgi Kiran Taşcı
Murat Sezak
Burçe Emine Yaşar
Funda Çetin
author_facet Miray Karakoyun
Ezgi Kiran Taşcı
Murat Sezak
Burçe Emine Yaşar
Funda Çetin
author_sort Miray Karakoyun
collection DOAJ
description Crohn’s disease (CD) is a chronic disease of the digestive system. It is characterized by lesions predominantly located in the small intestine and colon, although they may also occur in any segment of the gut, including the oral cavity. The involvement of oral mucosa in CD may be underreported, as up to 42% of pediatric patients with CD were found to have oral lesions after undergoing a thorough oral examination. Here, we present a case of CD in which the patient was referred to a dentist due to non-healing aphthous ulcers in the mouth. Our patient, a 16-year-old boy, was admitted to the dentistry clinic with swelling of the oral mucosa and the lips which had been ongoing for 3 months. The patient was referred to our department due to the non-response of the mucosal lesions to repeated cycles of medical treatment. Colonoscopy revealed a cobblestone appearance especially in the left colon, partly normal mucosa, and exudative ulcers. Biopsy samples showed increased inflammatory cell infiltration in the lamina propria and cryptitis in some of the crypts. A close collaboration between gastroenterologists and dentists is useful when addressing the diagnosis and appropriate management of these patients.
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spelling doaj.art-d48052f8d52a4d2da15ec07057ddc0632023-02-15T16:19:09ZengGalenos YayineviJournal of Pediatric Research2147-94452587-24782019-12-016435335510.4274/jpr.galenos.2019.2621313049054Orofacial Crohn’s Disease: A Case ReportMiray Karakoyun0Ezgi Kiran Taşcı1Murat Sezak2Burçe Emine Yaşar3Funda Çetin4 Ege University Faculty of Medicine, Department of Pediatric Gastroenterology, Division of Hepatology and Nutrition, İzmir, Turkey Ege University Faculty of Medicine, Department of Pediatric Gastroenterology, Division of Hepatology and Nutrition, İzmir, Turkey Ege University Faculty of Medicine, Department of Pathology, İzmir, Turkey Ege University Faculty of Medicine, Department of Pediatrics, İzmir, Turkey Ege University Faculty of Medicine, Department of Pediatric Gastroenterology, Division of Hepatology and Nutrition, İzmir, Turkey Crohn’s disease (CD) is a chronic disease of the digestive system. It is characterized by lesions predominantly located in the small intestine and colon, although they may also occur in any segment of the gut, including the oral cavity. The involvement of oral mucosa in CD may be underreported, as up to 42% of pediatric patients with CD were found to have oral lesions after undergoing a thorough oral examination. Here, we present a case of CD in which the patient was referred to a dentist due to non-healing aphthous ulcers in the mouth. Our patient, a 16-year-old boy, was admitted to the dentistry clinic with swelling of the oral mucosa and the lips which had been ongoing for 3 months. The patient was referred to our department due to the non-response of the mucosal lesions to repeated cycles of medical treatment. Colonoscopy revealed a cobblestone appearance especially in the left colon, partly normal mucosa, and exudative ulcers. Biopsy samples showed increased inflammatory cell infiltration in the lamina propria and cryptitis in some of the crypts. A close collaboration between gastroenterologists and dentists is useful when addressing the diagnosis and appropriate management of these patients. http://jpedres.org/archives/archive-detail/article-preview/orofacial-crohns-disease-a-case-report/25489 crohn’s diseaseoral cavitydentist
spellingShingle Miray Karakoyun
Ezgi Kiran Taşcı
Murat Sezak
Burçe Emine Yaşar
Funda Çetin
Orofacial Crohn’s Disease: A Case Report
Journal of Pediatric Research
crohn’s disease
oral cavity
dentist
title Orofacial Crohn’s Disease: A Case Report
title_full Orofacial Crohn’s Disease: A Case Report
title_fullStr Orofacial Crohn’s Disease: A Case Report
title_full_unstemmed Orofacial Crohn’s Disease: A Case Report
title_short Orofacial Crohn’s Disease: A Case Report
title_sort orofacial crohn s disease a case report
topic crohn’s disease
oral cavity
dentist
url http://jpedres.org/archives/archive-detail/article-preview/orofacial-crohns-disease-a-case-report/25489
work_keys_str_mv AT miraykarakoyun orofacialcrohnsdiseaseacasereport
AT ezgikirantascı orofacialcrohnsdiseaseacasereport
AT muratsezak orofacialcrohnsdiseaseacasereport
AT burceemineyasar orofacialcrohnsdiseaseacasereport
AT fundacetin orofacialcrohnsdiseaseacasereport