Crohn's disease presenting arthritis of knees without any gastrointestinal symptoms

Psoas fistula and abscess in a patient with Crohns Disease presenting as claudication and hip arthritis

Crohn’s disease is characterized by chronic intestinal inflammation and not rarely by extraintestinal manifestations. Psoas abscess and fistula is a rare complication of Crohn’s disease, which is sometimes difficult to diagnose in the early stage. We describe the case of a 22-year-old male patient with Crohn’s disease who presented to us with difficulty in walking and pain in the area of the ri...

Felty's syndrome presenting without arthritis.

A patient with splenomegaly, severe granulocytopenia and a strongly positive rheumatoid factor test initially had no clinical evidence of rheumatoid arthritis. Leukopenia responded to splenectomy and did not recur during one year of follow up. Symmetrical metacarpophalangeal joint swelling developed after nine months. This case emphasizes that arthritis may occasionally be a late and minor mani...

Angioedema presenting as chronic gastrointestinal symptoms.

Gastrointestinal complaints may be the presenting feature of patients with acquired or hereditary angioedema. We describe two patients with episodic nausea, abdominal pain, and cramping secondary to C1 inhibitor deficiency. In one patient, an acquired deficiency arose as a paraneoplastic syndrome with abdominal complaints preceding the diagnosis of an occult lymphoma. The second patient present...

Gastrointestinal disease and psoriatic arthritis.

Pinworm Infestation Mimicking Crohns' Disease

We here report a case of a young man who presented to his general practitioner with diarrhea. Inflammatory bowel disease was suspected and a colonoscopy showed aphthous lesions suggestive of Crohns' disease but biopsies revealed eggs of Enterobius vermicularis. When treated for this parasite, his symptoms were alleviated and a followup colonoscopy revealed a normal colon and distal ileum. Enter...