Distinguishing tuberculosis and <i>Crohn′s disease</i> in developing countries: How certain can you be of the diagnosis?
Distinguishing tuberculosis and Crohn′s disease in patients presenting with chronic abdominal pain and diarrhea is a huge diagnostic challenge, particularly in tuberculosis endemic countries. A large number of patients with Crohn′s disease are initially misclassified as having...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2009-01-01
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| Series: | The Saudi Journal of Gastroenterology |
| Subjects: | |
| Online Access: | http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2009;volume=15;issue=2;spage=142;epage=144;aulast=Navaneethan |
| _version_ | 1818979583356043264 |
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| author | Navaneethan Udayakumar Cherian Jijo Prabhu Rajesh Venkataraman Jayanthi |
| author_facet | Navaneethan Udayakumar Cherian Jijo Prabhu Rajesh Venkataraman Jayanthi |
| author_sort | Navaneethan Udayakumar |
| collection | DOAJ |
| description | Distinguishing tuberculosis and Crohn′s disease in patients presenting with chronic abdominal pain and diarrhea is a huge diagnostic challenge, particularly in tuberculosis endemic countries. A large number of patients with Crohn′s disease are initially misclassified as having Intestinal tuberculosis in places where tuberculosis is endemic before they are treated for Crohn′s disease. Although a variety of endoscopic, radiological and histological criteria have been recommended for the differentiation, it often proves difficult in routine clinical practice. Future prospective studies are required in patients with granulomatous colitis to prevent unnecessary inappropriate anti tuberculous therapy for patients with Crohn′s disease and appropriate early treatment for a patient with tuberculosis. |
| first_indexed | 2024-12-20T17:01:50Z |
| format | Article |
| id | doaj.art-fb51dcff10ee4f83b10354f3055d3e1f |
| institution | Directory Open Access Journal |
| issn | 1319-3767 1998-4049 |
| language | English |
| last_indexed | 2024-12-20T17:01:50Z |
| publishDate | 2009-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | The Saudi Journal of Gastroenterology |
| spelling | doaj.art-fb51dcff10ee4f83b10354f3055d3e1f2022-12-21T19:32:31ZengWolters Kluwer Medknow PublicationsThe Saudi Journal of Gastroenterology1319-37671998-40492009-01-01152142144Distinguishing tuberculosis and <i>Crohn′s disease</i> in developing countries: How certain can you be of the diagnosis?Navaneethan UdayakumarCherian JijoPrabhu RajeshVenkataraman JayanthiDistinguishing tuberculosis and Crohn′s disease in patients presenting with chronic abdominal pain and diarrhea is a huge diagnostic challenge, particularly in tuberculosis endemic countries. A large number of patients with Crohn′s disease are initially misclassified as having Intestinal tuberculosis in places where tuberculosis is endemic before they are treated for Crohn′s disease. Although a variety of endoscopic, radiological and histological criteria have been recommended for the differentiation, it often proves difficult in routine clinical practice. Future prospective studies are required in patients with granulomatous colitis to prevent unnecessary inappropriate anti tuberculous therapy for patients with Crohn′s disease and appropriate early treatment for a patient with tuberculosis.http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2009;volume=15;issue=2;spage=142;epage=144;aulast=NavaneethanCrohn′s diseasegranulomatous colitisendemicinappropriatetuberculosis |
| spellingShingle | Navaneethan Udayakumar Cherian Jijo Prabhu Rajesh Venkataraman Jayanthi Distinguishing tuberculosis and <i>Crohn′s disease</i> in developing countries: How certain can you be of the diagnosis? The Saudi Journal of Gastroenterology Crohn′s disease granulomatous colitis endemic inappropriate tuberculosis |
| title | Distinguishing tuberculosis and <i>Crohn′s disease</i> in developing countries: How certain can you be of the diagnosis? |
| title_full | Distinguishing tuberculosis and <i>Crohn′s disease</i> in developing countries: How certain can you be of the diagnosis? |
| title_fullStr | Distinguishing tuberculosis and <i>Crohn′s disease</i> in developing countries: How certain can you be of the diagnosis? |
| title_full_unstemmed | Distinguishing tuberculosis and <i>Crohn′s disease</i> in developing countries: How certain can you be of the diagnosis? |
| title_short | Distinguishing tuberculosis and <i>Crohn′s disease</i> in developing countries: How certain can you be of the diagnosis? |
| title_sort | distinguishing tuberculosis and i crohn x2032 s disease i in developing countries how certain can you be of the diagnosis |
| topic | Crohn′s disease granulomatous colitis endemic inappropriate tuberculosis |
| url | http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2009;volume=15;issue=2;spage=142;epage=144;aulast=Navaneethan |
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