RESUMEN
Clinical case of Crohn's disease diagnostics with psoriatic appearance of skin rash as the first manifestation described.
Asunto(s)
Enfermedad de Crohn/complicaciones , Psoriasis/etiología , Adulto , Colectomía/métodos , Enfermedad de Crohn/diagnóstico , Enfermedad de Crohn/cirugía , Diagnóstico Diferencial , Endoscopía Gastrointestinal , Femenino , Estudios de Seguimiento , Humanos , Psoriasis/diagnóstico , Psoriasis/inmunología , Linfocitos T/inmunologíaRESUMEN
The article presents the results of the dental examination of 75 patients with ulcerative colitis and Crohn's disease with mild and medium-to-severe clinical course. Absolutely all of the patients had intensive dental caries and inflammatory diseases of the paradontium that exceeded the average statistical level for Moscow both in terms of incidence and severity. As many as 20-60% of patients suffering from inflammatory intestinal diseases also had such disorders of the mouth cavity mucous membrane as angular cheilitis, labial fissures, glossitis or aphthous stomatitis. The reduction of the alveolar bony tissue was usually found in cases of gingivitis and paradontosis. It was demonstrated that the treatment of this type of pathologies as well as preventive measures can essentially reduce the mouth cavity disease incidence for this group of patients and improve their life quality.
Asunto(s)
Colitis Ulcerosa/complicaciones , Enfermedad de Crohn/complicaciones , Enfermedades de la Boca/diagnóstico , Boca/patología , Enfermedades Dentales/diagnóstico , Adulto , Diagnóstico Bucal , Femenino , Humanos , Masculino , Tamizaje Masivo , Persona de Mediana Edad , Enfermedades de la Boca/etiología , Enfermedades de la Boca/prevención & control , Enfermedades Dentales/etiología , Enfermedades Dentales/prevención & controlRESUMEN
Ovalbumin loading enzyme immunoassay was made in 44 patients with ulcerative colitis (UC) and 8 patients with Crohn's disease (CD). Enhanced intestinal permeability for macromolecules was found in 87.5 and 65.9% of patients with CD and UC, respectively. Blood serum of UC patients suffering from combination of food intolerance with dysbacteriosis contained ovalbumin in amounts exceeding those in patients without the above disorders 3.4 times (p < 0.05). No significant relationship existed between UC patients' high intestinal permeability and such indices as age, duration of the disease, intestinal lesion extension, administration of corticosteroids. It was found desirable to include ovalbumin intestinal permeability test in examination of UC and CD patients to differentiate treatment policy.