Published in:
01-01-2017 | Stanford Multidisciplinary Seminars
Pulmonary Crohn’s Disease
Authors:
Kirsten Regalia, Andrew Shelton, Gerald Berry, George Triadafilopoulos, Christine A. Cartwright
Published in:
Digestive Diseases and Sciences
|
Issue 1/2017
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Excerpt
A 31-year-old man of Northern European ancestry who was born and raised in California was well until 2013 when he developed a perianal fistula. At that time, he had no diarrhea, abdominal pain, or weight loss. Anal examination under anesthesia revealed a deep right, transsphincteric hemi-horseshoe anal fistulous tract that extended from the right posterior to the right anterior midline. Laboratory evaluation was notable for a normal complete blood count and comprehensive metabolic panel, although serum inflammatory markers were mildly elevated (ESR 33 mm/h, CRP 1.5 mg/dL). …