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Does Crohn's Diseas...
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Gale, GitaGothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology
(författare)
Does Crohn's Disease with Concomitant Orofacial Granulomatosis Represent a Distinctive Disease Subtype?
- Artikel/kapitelEngelska2016
Förlag, utgivningsår, omfång ...
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Oxford University Press (OUP),2016
Nummerbeteckningar
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LIBRIS-ID:oai:gup.ub.gu.se/238917
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https://gup.ub.gu.se/publication/238917URI
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https://doi.org/10.1097/mib.0000000000000670DOI
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Ämneskategori:art swepub-publicationtype
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Background: Although orofacial granulomatosis (OFG) may present as a separate clinical entity, it often seems in conjunction with various systemic diseases, of which Crohn's disease (CD) is one of the most common. The aim of this study was to investigate whether CD with concomitant OFG represents a distinctive disease subtype. Methods: Twenty-one patients with CD and concomitant OFG (CD+OFG group) were included in the study. As the reference group, a cohort of 39 patients with CD but without OFG (CD-R group) was used. Demographic data and clinical characteristics were recorded at the time of diagnosis. The 2 groups were compared using multivariate analyses. Results: The percentage of patients with intestinal inflammation in the upper gastrointestinal tract was significantly higher in the CD+OFG group, as compared with the CD-R group (81% versus 33%; P < 0.001). Furthermore, ileocolonic inflammation was significantly more common in the CD+OFG patients (81% versus 46%; P = 0.013). In addition, perianal disease was more frequently observed in the CD+OFG group (48% versus 18%; P = 0.033). Significantly more patients showed evidence of granulomas in the primary endoscopy in the CD+OFG group than in the CD-R group (81% versus 38%; P = 0.003). Conclusion: The data from this study suggest that the presence of CD in conjunction with OFG represents a distinctive subphenotype of CD that is characterized by extensive inflammation, perianal disease, and pronounced granuloma formation in the intestine.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Sigurdsson, Gudmundur Vignir,1985Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics(Swepub:gu)xsiguv
(författare)
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Östman, Sofia M,1974Gothenburg University,Göteborgs universitet,Institutionen för biomedicin, avdelningen för infektionssjukdomar,Institute of Biomedicine, Department of Infectious Medicine(Swepub:gu)xostms
(författare)
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Malmborg, P.
(författare)
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Hogkil, K.
(författare)
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Hasséus, Bengt,1955Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology(Swepub:gu)xhasbe
(författare)
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Jontell, Mats,1951Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology(Swepub:gu)xjonma
(författare)
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Saalman, Robert,1952Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics(Swepub:gu)xsaaro
(författare)
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Göteborgs universitetInstitutionen för odontologi
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Inflammatory Bowel Diseases: Oxford University Press (OUP)22:5, s. 1071-10771078-0998
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Gale, Gita
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Sigurdsson, Gudm ...
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Östman, Sofia M, ...
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Malmborg, P.
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Hogkil, K.
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Hasséus, Bengt, ...
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Jontell, Mats, 1 ...
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Saalman, Robert, ...
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Göteborgs universitet