“…OFG may precede gastrointestinal disease by several years and may be the only obvious focus of disease 6,7 . In this regard, Scully et al 8 found that 37% of patients, having no intestinal symptoms but with clinical evidence of oral CD, had demonstrable intestinal disease. Sanderson et al 5 also found that endoscopic and histologic intestinal abnormalities were common in patients with OFG and without gastrointestinal symptoms.…”