Retrospective study of the differential diagnosis between cryptogenic multifocal ulcerous stenosing enteritis and small bowel Crohn's disease.

ABSTRACT:

Background

Being a rare disease, cryptogenic multifocal ulcerous stenosing enteritis (CMUSE) is easily misdiagnosed as small bowel Crohn's disease (SBCD).

Aims

This study was aimed to compare clinical features of CMUSE to SBCD.

Methods

Fourteen patients with CMUSE and 61 patients with SBCD were retrospectively analyzed.

Results

Hematochezia was more frequent in CMUSE patients (10, 71.4% vs 23, 37.7%, P = 0.022), while diarrhea was more common in SBCD patients (23, 37.7% vs 0, 0.0%, P = 0.015). More patients with CMUSE developed intestinal stenosis than with SBCD (14, 100% vs 37, 60.7%, P = 0.011). 30 (50.0%) SBCD patients and none CMUSE patients had an elevated erythrocyte sedimentation rate level (P = 0.001). Extra-enteric findings found by computed tomography

SUBMITTER: Chen D 

PROVIDER: S-EPMC7409495 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature