口腔症状を契機とし,Crohn病と診断した1例

  • 下間 祐輝
    社会福祉法人恩賜財団済生会兵庫県病院歯科口腔外科
  • 尾古 俊哉
    社会福祉法人恩賜財団済生会兵庫県病院歯科口腔外科
  • 小林 英里奈
    社会福祉法人恩賜財団済生会兵庫県病院歯科口腔外科

書誌事項

タイトル別名
  • A Case of Crohn’s Disease Diagnosed due to Oral Symptoms

抄録

Many patients with Crohn’s disease and other systemic diseases visit a dentist without a definitive diagnosis. Dentists can potentially recognize oral symptoms associated with systemic diseases, enabling the duration of patients’ illnesses to be shortened. <br>Here, we report a case of an 8-year-old girl diagnosed with Crohn’s disease due to oral symptoms. She had swelling in her upper lip and visited her local dentist, who applied Dexamethasone oral ointment to her lip. However, her symptoms did not improve, and she was referred to our department for further examination and treatment. On close examination, gingivitis and cheilitis granulomatosa related to inflammatory bowel disease were suspected, and the child was referred to the Department of Pediatrics of the hospital the next day for a whole-body examination. Due to inconclusive diagnosis after a close examination at the same department, the patient was referred to the Department of Pediatrics of a certain university hospital for further examination, where, after a close examination, she was diagnosed with Crohn’s disease. <br>Nutrition therapy with Elental and drug therapy with mesalazine were started. Currently, the patient’s gastrointestinal symptoms and oral lesions have resolved.

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