Differential diagnosis between Crohn's disease and intestinal tuberculosis based on clinical manifestations, endoscopic and CT findings
10.3760/cma.j.issn.1671-7368.2012.10.024
- VernacularTitle:克罗恩病与肠结核的临床表现和内镜及CT特征分析
- Author:
Qingqiang ZHU
;
Jingtao WU
;
Wenxin CHEN
;
Jin ZHENG
;
Mingxiang CHEN
;
Xianfu LUO
- Publication Type:Journal Article
- Keywords:
Crohn disease;
Tuberculosis,gastrointestinal
- From:
Chinese Journal of General Practitioners
2012;(10):765-769
- CountryChina
- Language:Chinese
-
Abstract:
The clinical data,endoscopic and CT findings of 39 patients with Crohn's disease(CD) and 24 patients with intestinal tuberculosis (ITB) were retrospectively reviewed.Diarrhea,hematochezia,perianal disease,intestinal obstruction,occurred more frequently in CD than in ITB (P ＜0.05 or ＜0.01).Night sweating,febrility,pulmonary tuberculosis and ascites were more common in ITB than in CD (P ＜0.01).The endoscopic findings showed that longitudinal ulcer,cobblestone sign,intestinal stricture were detected more often in CD than in ITB (P ＜ 0.05 or ＜ 0.01),but transverse ulcer and rodent ulcer were more frequently found in ITB than in CD (P ＜0.05 or ＜0.01).On the CT imaging mural gas,fat,enteric cavity stenosis and layering thickening were more common in CD than in ITB (P ＜ 0.05 or ＜ 0.01),but mural single layer thickening and hollow lymph nodes were discovered more frequently in ITB than in CD (P ＜ 0.01).The degree of intestinal wall thickening,enhancement and lymph nodes enlargement of ITB were more severe than that of CD (P ＜ 0.01).The clinical manifestations combined with endoscopic and CT finding may improve the differential diagnosis between Crohn's disease and intestinal tuberculosis.
