Kallinowski B, Nöldge G, Stiehl A
Dept. of Internal Medicine, University of Heidelberg, Germany.
Z Gastroenterol. 1994 Nov;32(11):642-4.
The differential diagnosis of Behçet's syndrome or Crohn's disease can be extremely difficult. In this case report we present a 32-year old female patient with Crohn's disease. The coexisting extraintestinal symptoms such as mucocutaneous apthous lesions of the mouth and vulva, the erythema nodosa of the lower extremities and recurrent arthralgias made the correct diagnosis even more difficult. The patient was treated with a combination of systemic corticosteroids and azulfidine enema, under which she recovered.
白塞病或克罗恩病的鉴别诊断可能极其困难。在本病例报告中，我们介绍了一名患有克罗恩病的32岁女性患者。共存的肠外症状，如口腔和外阴的黏膜皮肤阿弗他病变、下肢结节性红斑和复发性关节痛，使得正确诊断更加困难。该患者接受了全身性皮质类固醇和柳氮磺胺吡啶灌肠剂联合治疗，在此治疗下她康复了。
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