Crohns disease and extra intestinal granulomatous lesions

G. Tomasello, M. Scaglione, M. Mazzola, A.Gerges Geaga, A. Jurjus, G. Gagliardo, E. Sinagra, P. Damiani, F. Carini, A. Leone

Article ID: 5053
Vol 32, Issue 1, 2018
DOI: https://doi.org/10.54517/jbrha5053
Received: 11 March 2018; Accepted: 11 March 2018; Available online: 11 March 2018; Issue release: 11 March 2018

Abstract

Crohns disease (CD) is an inflammatory bowel disease with a multifactorial etiology. Clinical features include mucosal erosion, diarrhea, weight loss and other complications such as formation of granuloma. In CD, granuloma is a non-neoplastic epithelioid lesion, formed by a compact aggregate of histiocytes with the absence of a central necrosis, however, the correlation among CD and the formation of granulomas is unknown. Many cases of granulomas in the extracellular site, related to CD, have been reported in the literature. These granulomas, at times, represented the only visible manifestation of the pathology. Extra intestinal granulomas have been found on ovaries, lungs, male genitalia, female genitalia, orofacial regions and skin. From the data in the literature it could be hypothesized that there is a cross-reaction of the immune system with similar antigenic epitopes belonging to different sites. This hypothesis, if checked, can place CD not only among inflammatory bowel disease but also among inflammatory diseases with systemic involvement


Keywords

Chron’s disease;granuloma;epithelioid lesion;extra intestinal manifestations


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