Medical Disclaimer: This is educational content only, not medical advice. Consult a licensed healthcare provider for diagnosis/treatment. Information based on sources like WHO/CDC guidelines (last reviewed: 2026-02-13).
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Medical Disclaimer: This is educational content only, not medical advice. Consult a licensed healthcare provider for diagnosis/treatment. Information based on sources like WHO/CDC guidelines (last reviewed: 2026-02-13).
Crohn’s disease is a chronic inflammatory bowel disease characterized by transmural inflammation that can affect any part of the gastrointestinal tract from mouth to anus, most commonly the terminal ileum and colon.
Crohn’s disease is caused by a combination of genetic susceptibility, immune system dysregulation, environmental factors, and abnormal response to gut microbiota.
Common symptoms include chronic diarrhea, abdominal pain, weight loss, fatigue, fever, and in some cases blood in stool.
Crohn’s disease causes skip lesions and transmural inflammation and can affect the entire GI tract, while ulcerative colitis causes continuous mucosal inflammation limited to the colon.
The terminal ileum is the most commonly affected site, followed by the colon.
Complications include strictures, fistulas, abscesses, intestinal obstruction, malabsorption, and increased risk of colorectal and small bowel cancer.
Diagnosis is based on clinical features, laboratory markers of inflammation, endoscopy with biopsy, and imaging such as CT or MR enterography.
Colonoscopy allows visualization of skip lesions, ulcers, cobblestone mucosa, and enables biopsy to confirm transmural inflammation and granulomas.
There is no cure for Crohn’s disease. Treatment aims to induce and maintain remission and prevent complications.
Treatment includes corticosteroids for flares, immunomodulators like azathioprine, biologics such as anti-TNF agents, and supportive therapies.
Biologics are indicated in moderate to severe disease, steroid-dependent cases, and fistulizing Crohn’s disease.
Smoking worsens disease severity, increases relapse rates, and raises the likelihood of surgery.
Extraintestinal manifestations include arthritis, erythema nodosum, uveitis, ankylosing spondylitis, and kidney stones.
Surgery is not curative. It is used to manage complications such as strictures, fistulas, abscesses, or refractory disease.
During flares, a low-residue diet may help. Nutritional supplementation is important, especially for vitamin B12, iron, and vitamin D.
Long-term risks include malnutrition, growth failure in children, chronic anemia, and increased risk of intestinal malignancy.