Atteinte granulomateuse pulmonaire précédant le diagnostic de maladie de Crohn : à propos d’un cas pédiatrique

Roblin, E.; Pecciarini, N.; Yantren, Habiba; Dubois, R.; Hameury, F.; Bellon, G.; Bouvier, R.; Lachaux, A.

doi:10.1016/j.arcped.2010.06.006

Cited by 6 publications

(1 citation statement)

References 18 publications

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“…Shulimzon et al [ 8 ] described two female patients with CD whose necrotizing granulomatous inflammation in the lung occurred 5 years before the bowel symptoms. Roblin et al [ 9 ] also reported a pediatric case with granulomatous pulmonary involvement before the diagnosis of CD. In our case, pulmonary manifestation antedates the onset of CD by nearly 2 years with a CPA pattern found by HRCT.…”

Section: Discussionmentioning

confidence: 99%

Cutaneous Vasculitis, Interstitial Pneumonia with Crazy-Paving Appearance, and Positive pANCA in a Patient with Severe Crohn’s Disease

Chen

Wang

et al. 2014

Case Reports in Gastrointestinal Medicine

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Cutaneous vasculitis, interstitial pneumonia with crazy-paving appearance on high-resolution computed tomography, and repeated positive perinuclear anti-neutrophil cytoplasmic antibodies (pANCA) are rarely found together in patients with inflammatory bowel disease in the existing literature. We report the case of a Chinese patient previously diagnosed with cutaneous vasculitis and interstitial pneumonia, who presented with acute pain and mass in his right lower quadrant a couple of years later. The terminal ileum biopsy and postoperative pathology confirmed Crohn's disease (CD).

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Section: Discussionmentioning

confidence: 99%

Cutaneous Vasculitis, Interstitial Pneumonia with Crazy-Paving Appearance, and Positive pANCA in a Patient with Severe Crohn’s Disease

Chen

Wang

et al. 2014

Case Reports in Gastrointestinal Medicine

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Pulmonary and hepatic nodular lesions precede the diagnosis of Crohn’s disease in an 8‐year‐old girl: a case study and review of the literature

et al. 2011

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Imaging findings of thoracic manifestations of Crohn’s disease and ulcerative colitis

Cassius De Linval,

Barat,

Aissaoui

et al. 2024

Insights Imaging

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Thoracic manifestations of inflammatory bowel disease (IBD) are rare, occurring in less than 1% of patients. Unlike most other extra-intestinal manifestations, they predominate in patients with ulcerative colitis rather than in Crohn’s disease. In most patients, thoracic involvement follows the onset of IBD by several years. However, thoracic involvement may also occur synchronously or even precede the onset of digestive symptoms. The thoracic manifestations of IBD include airway involvement and parenchymal lung abnormalities. Airways are the most frequent anatomical site for thoracic involvement in IBD. Airway manifestations usually develop several years after the onset of intestinal manifestations, preferentially when the latter are stable or in remission. Airway manifestations include bronchial wall thickening, bronchiectasis, small airway disease, and tracheal wall thickening. Parenchymal lung abnormalities are less prevalent in IBD and include organizing pneumonia, necrobiotic nodules, noncaseating granulomatous nodules, drug-induced pneumonia, and rarely interstitial lung diseases. The differential diagnosis between organizing pneumonia, necrobiotic nodules, and noncaseating granulomatous nodules is difficult and usually requires histopathological analysis for a definite diagnosis. Radiologists play a key role in the detection of thoracic manifestations of Crohn’s disease and ulcerative colitis and, therefore, need to be familiar with their imaging findings. This article aims to offer an overview of the imaging findings of thoracic manifestations in patients with Crohn’s disease or ulcerative colitis. Critical relevance statement Thoracic manifestations of Crohn’s disease and ulcerative colitis include tracheal involvement, bronchiectasis, small airway disease, and parenchymal lung abnormalities such as organizing pneumonia and necrobiotic nodules. These rare manifestations (< 1% of patients) more often affect patients with ulcerative colitis. Key Points Thoracic manifestations of inflammatory bowel disease are rare, occurring in less than 1% of patients. Thoracic manifestations are more frequent in patients with ulcerative colitis than Crohn’s disease. Bronchial disease is the most frequent thoracic manifestation of Crohn’s disease and ulcerative colitis. Graphical Abstract

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Atteinte granulomateuse pulmonaire précédant le diagnostic de maladie de Crohn : à propos d’un cas pédiatrique

Cited by 6 publications

References 18 publications

Cutaneous Vasculitis, Interstitial Pneumonia with Crazy-Paving Appearance, and Positive pANCA in a Patient with Severe Crohn’s Disease

Cutaneous Vasculitis, Interstitial Pneumonia with Crazy-Paving Appearance, and Positive pANCA in a Patient with Severe Crohn’s Disease

Pulmonary and hepatic nodular lesions precede the diagnosis of Crohn’s disease in an 8‐year‐old girl: a case study and review of the literature

Imaging findings of thoracic manifestations of Crohn’s disease and ulcerative colitis

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