Significance of Perianal Lesion in Pediatric Crohn Disease

PURPOSE: Despite the increasing incidence of pediatric Crohn disease (CD) in Korea, data on the characteristics of perianal lesions are scarce. Therefore, we aimed to investigate the characteristics of pediatric CD with accompanying perianal lesions in Korea.

METHODS: We retrospectively reviewed the medical records of children (age ≤18 years) with confirmed CD at Gachon University Gil Medical Center between 2000 and 2014. Patients were classified into two groups based on the presence or absence of any perianal lesions including skin tags. Additional analysis was performed according to the presence or absence of perianal perforating lesions.

RESULTS: Among the 69 CD children (mean age, 15.4 years) include in the analysis, 54 (78.3%) had a perianal lesion and 29 (42.0%) had a perianal perforating lesion. The median duration of chief complaints was longer in pediatric CD with any accompanying perianal lesions (5.40 months vs. 1.89 months, p=0.02), while there was no difference between pediatric CD with and without perianal perforating lesions (5.48 months vs. 4.02 months, p=0.18). Perianal symptoms preceded gastrointestinal symptoms in 13 of 29 (44.8%) patients with perianal perforating lesions.

CONCLUSIONS: CD should be suspected in children with perianal lesions, even in circumstances when gastrointestinal symptoms are absent.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:21

Enthalten in:

Pediatric gastroenterology, hepatology & nutrition - 21(2018), 3 vom: 06. Juli, Seite 184-188

Sprache:

Englisch

Beteiligte Personen:

Jin, Won Seok [VerfasserIn]
Park, Ji Hyoung [VerfasserIn]
Lim, Kyung In [VerfasserIn]
Tchah, Hann [VerfasserIn]
Ryoo, Eell [VerfasserIn]

Links:

Volltext

Themen:

Child
Crohn disease
Journal Article
Perianal lesions

Anmerkungen:

Date Revised 18.03.2022

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.5223/pghn.2018.21.3.184

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM286346761