Peristomal Erosion in a Man With Crohn Disease

A man in his 50s with a 10-year history of Crohn disease had intermittent bowel obstructions leading to total proctocolectomy and ileostomy, and 5 weeks after surgery he developed a painful, erosive lesion around his stoma on the anterior abdominal wall. What is your diagnosis?

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Dicembre 2024

Better Together: Implementing a Multidisciplinary Approach to Optimizing Diagnosis and Management of Crohn’s Perianal Fistulas

Crohn’s perianal fistula (CPF) is an aggressive phenotype of Crohn’s disease (CD) that remains challenging to diagnose and treat, with profound effects on quality of life (QOL). CPF affects approximately 25% of the 780,000 people in the United States living with CD.1 Patients with CPF, only one-third of whom attain long-term remission,2 have higher rates of hospitalizations, surgical intervention, and health care costs than those with isolated luminal CD, as well as significantly increased levels of morbidity, disability, and mental health deterioration.

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Novembre 2024