| Literature DB >> 15309739 |
Hiroshi Ishimoto1, Hajime Isomoto, Saburo Shikuwa, Chun-Yang Wen, Takashi Suematu, Masahiro Ito, Ikuo Murata, Hiromi Ishibashi, Shigeru Kohno.
Abstract
We presented a 20-year-old patient with Crohn's disease (CD). Colonoscopy revealed longitudinal ulceration in the terminal ileum and rectal aphtoid ulcers. After treatment with mesalamine and total parenteral nutrition, repeat colonoscopy revealed a granular elevated area in the terminal ileum, which appeared as an irregular dome-like elevation with irregularly arranged villi on magnifying endoscopy. Biopsy specimens taken from the region showed microgranulomas and lymphoid hyperplasia. Scanning electron microscopy revealed the presence of M cells, confirming that the area corresponded to Peyer's patches. Peyer's patches by magnifying endoscopy and electron microscopy may provide insights into the pathogenesis of CD.Entities:
Mesh:
Year: 2004 PMID: 15309739 PMCID: PMC4572213 DOI: 10.3748/wjg.v10.i18.2767
Source DB: PubMed Journal: World J Gastroenterol ISSN: 1007-9327 Impact factor: 5.742