CPC Case IV
Provided By: Yi-Ling Lin, DDS, DMSc andRussell Christensen, DDS - 2012-05-16
Clinical History
55 year old female with several month history of painful ulcers in the vestibule and buccal mucosa. Patient denies any significant medical history.
Differential Diagnosis
-
Foreign material
-
Deep fungal infection
-
Tuberculosis
-
Crohn�fs disease
-
Sarcoidosis
-
Chronic granulomatous disease
Diagnosis
- Crohn's Disease
Clinical Features
- Affect any portion of the GI tract
- When fully developed, CD is characterized by skip lesions
- sharp demarcation of diseased bowel segments from adjacent uninvolved bowel
- Non-caseating granuloma in 40%-60% of cases
- The absence of granulomas does not preclude a diagnosis of CD
- Fissuring with formation of fistula
Radiographic Findings
Treatment & Prognosis
Discussion
Orofacial granulomatosis
- Clinical: nodular swelling, cobblestone appearance, deep ulcer
- Not a specific diagnosis
References