PMC2952909_01
Colonoscopy demonstrated active colitis with longitudinal ulcers from sigmoid colon through cecum (a) and a normal terminal ileum (b).
CRM2010-418769.001.jpg
PMC2952909_01_CRM2010-418769.001.jpg
fig1
Chest X-ray was normal, and Mantoux test was negative. Colonoscopy showed longitudinal ulcers from sigmoid colon through cecum (Figure 1(a)) and a normal terminal ileum (Figure 1(b)).
Upper gastrointestinal endoscopy revealed proximal Crohn's disease with erosions in esophagus (a), stomach (b) and duodenum (c).
CRM2010-418769.002.jpg
PMC2952909_01_CRM2010-418769.002.jpg
fig2
GI endoscopy in all patients with ileal and/or colonic CD in order to define the sites, the extent, and the phenotype of the disease according to Montreal classification. Gastroscopy revealed multiple punch-out ulcers in the esophagus (Figure 2(a)) and erosions in the stomach (Figure 2(b)) and the duodenum (Figure 2(c)).
Follow-up with upper gastrointestinal endoscopy showing complete healing of the esophageal erosions after 3 months of topical treatment with swallowed budesonide.
CRM2010-418769.003.jpg
PMC2952909_01_CRM2010-418769.003.jpg
fig3
A followup upper GI endoscopy showed disappearance of the esophageal disease (Figure 3) with persistence of gastric and duodenal erosions.