Crohn’s Disease Diagnosed in a Man with Sarcoidosis: Coincidence or Correspondence?

Crohn’s disease and sarcoidosis are characterized by noncaseating granulomas, but rarely do they present in the same patient. Their coexistence presents a diagnostic challenge as they are often classified as clinically separate, despite their similarities. We present a case of a 59-year-old man prev...

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Bibliographic Details
Published in:Case reports in gastrointestinal medicine 2022-05, Vol.2022, p.5943468-4
Main Authors: Mills, Krystal, Fatima, Shaheen, Fas, Norberto
Format: Article
Language:English
Subjects:
Abdomen
Case Report
Case reports
Colitis
Colon
Colonoscopy
Crohn's disease
Diarrhea
Diseases
Gastroenterology
Granulomas
Health aspects
Inflammatory bowel disease
Patients
Sarcoidosis
Tumor necrosis factor
Ulcers
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Summary:Crohn’s disease and sarcoidosis are characterized by noncaseating granulomas, but rarely do they present in the same patient. Their coexistence presents a diagnostic challenge as they are often classified as clinically separate, despite their similarities. We present a case of a 59-year-old man previously diagnosed with pulmonary sarcoidosis who presented to the emergency room with abdominal pain and diarrhea. Colonoscopy revealed multiple ulcers in the colon, with histology in keeping with newly diagnosed Crohn’s colitis. The patient had a good clinical response to initiation of steroid therapy and a tumor necrosis factor (TNF) inhibitor.
ISSN:2090-6528
2090-6536
DOI:10.1155/2022/5943468