PMC5491824_01
Abdominal computed tomography showing regional mesenteric lymphadenopathy.
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Abdominal computed tomography demonstrated inflammatory changes in the terminal ileum with enlarged regional mesenteric lymph modes (Fig. 1).
A: Colonoscopic photographs showing multiple mucosal aphthae and edematous changes in the ileocecal mucosa. B: A histopathological examination of the ileocecal mucosa showing inflammatory cell infiltration and crypt abscess.
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Colonoscopy showed marked swelling in the mucosa with small ulcerations in the terminal ileum (Fig. 2A). A pathological examination demonstrated inflammatory infiltrates in the lamina propria with crypt abscess (Fig. 2B).
Clinical course.
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The patient's condition subsequently improved, and his elevated erythrocyte sedimentation rate and C-reactive protein level normalized under tapered steroid therapy plus MTX (8 mg/week) (Fig. 3).