SummaryWork carried out at the anhanguera University -Uniderp/MS, campo grande, MS, Brazil. Conflict of interest: noneObjective: Estimating the prevalence of diabetes mellitus (DM) and impaired glucose tolerance (IGT) in the urban population aged between 30 and 69 years in the municipality of Campo Grande, state of Mato Grosso do Sul, Brazil. Methods: Population-based cross-sectional study conducted between October/2009 and February/2011. The investigation included the determination of fasting glucose and participants with blood glucose ≥ 200 mg/dL were considered diabetic. Nondiabetic patients, which showed blood glucose ≥ 100 mg/dL and < 200 mg/dL, underwent an oral glucose tolerance test (OGTT) to investigate whether they had DM or IGT. Results: 1.429 individuals participated in this investigation. The general prevalence, adjusted for sex and age, were: 12.3% for DM (95%CI: 10.5 to 13.9%) and 7.1% for IGT (95%CI: 5.7 to 8.4%). There was a higher prevalence of DM with increasing age in people with low educational level, family history of diabetes, overweight, obesity and central obesity. Among diabetic patients (n = 195), 25% were unaware they had the disease and were diagnosed through investigation. Among patients who already knew they had DM (n = 146), 37% were unaware of the potential chronic complications. Conclusion: This study confirms the increased prevalence of DM in Brazil and emphasizes the need for early diagnosis, as well as the importance of strict adherence to medical treatment in order to prevent its much feared complications.

The authors report the case of a 19-year-old male patient with Crohn's disease treated with infliximab and azathioprine, with sustained clinical remission; in the course of the evolution, this patient showed a vascular malformation in his rectum, with daily massive bleeding, in need of several blood transfusions and finally with an indication for surgical treatment. Data from the literature on the association of the injury at issue and CD, as well as the drugs used by the patient, are evaluated. The literature lacks information linking this malformation with CD or with the drugs used.