Boraz R A
Dental Service, University of Kansas Medical Center, Kansas City 66103.
ASDC J Dent Child. 1988 Jan-Feb;55(1):72-4.
Crohn disease, a devastating chronic illness, often develops in the childhood years. The disease is a segmental transmural intestinal disease that may involve one or more segments of the gut from the mouth to the anus. Crohn disease is frequently confused with ulcerative colitis. Frequent oral manifestations include persistent oral ulcerations, diffuse gingival swelling, mucosal hyperplasia and fissuring, cheilitis, and pyostomatitis vegetans. Frequently, oral biopsy is essential in establishing a correct diagnosis of the disease. Although no cure is currently available for the Crohn disease, the proper diagnosis of the problem is essential for providing symptomatic relief. A case report is presented documenting the value of the proper diagnosis of the disease. The literature is reviewed and updated.
克罗恩病是一种严重的慢性疾病,常在儿童期发病。该病是一种节段性透壁性肠道疾病,可累及从口腔到肛门的肠道一个或多个节段。克罗恩病常与溃疡性结肠炎相混淆。常见的口腔表现包括持续性口腔溃疡、弥漫性牙龈肿胀、黏膜增生与裂隙、唇炎以及增殖性脓性口炎。通常,口腔活检对于正确诊断该病至关重要。尽管目前尚无治愈克罗恩病的方法,但正确诊断问题对于缓解症状至关重要。本文呈现了一例病例报告,记录了正确诊断该病的价值。并对相关文献进行了回顾与更新。