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A rare case of isolated oesophageal Crohn s disease

Ilie Madalina, Constantinescu G., Diaconu Camelia, Stanciulescu Elena-Luminita, Enache V., Macovei R., Popa B.
Abstract: Crohn s disease (CD) may affect any segment of the gastrointestinal tract. Although rare, its oesophageal manifestation may be seen as the first sign of this disease. We present the case of a 27 years old female who is admitted with heartburn and dysphagia for 4 years, being misdiagnosed as reflux esophagitis. Endoscopy performed in our unit pointed out erythema, segmental ulcers separated by normal mucosa, “cobble stone’’ aspect. The histological findings were ulcers and a chronic inflammatory mucosal infiltrate. The patient was unresponsive to PPI(Proton Pump Inhibitor), but a rapid improvement was seen after corticosteroid administration. Differential diagnosis and treatment opportunities are presented below.

Keywords: esophageal Crohn’s disease, esophageal ulcers, corticosteroids


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