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Tulio Bryk, MD; Zvi Weizman, MD; Edna Kurzbart, MD; Hanna Shulman, MD; Esther Maor, MD; Walter W. Tunnessen, Jr, MD

Arch Pediatr Adolesc Med. 1995;149(2):197-198.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A 9-MONTH-OLD boy was referred for evaluation of severe perianal disease and suspected sexual abuse. The relevant medical history was unremarkable except for chronic, recurring diarrhea. On physical examination, the infant was pale, ill-looking, and malnourished. Severe perianal inflammation was present along with anal fissures and skin tags (Figure 1). Diarrheal stool with mucus and streaks of blood was passed. Significant laboratory data included a hemoglobin level of 9.5 g/dL, white blood cell count of 26.0x10⁹/L, erythrocyte sedimentation rate of 85 mm/h, and a stool smear showing a large number of leukocytes. Stool specimens for culture and parasite examination were negative. A barium enema (Figure 2) and, eventually, a colectomy (Figure 3) were performed. A microscopic section of the colon is shown in Figure 4.

Denouement and Discussion

Infantile Crohn's Disease

Crohn's disease is a chronic transmural inflammatory process of unknown cause, involving any segment of the gastrointestinal . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Pediatrics (Drs Bryk and Weizman), Pediatric Surgery (Dr Kurzbart), Radiology (Dr Shulman), and Pathology (Dr Maor), Soroka Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel, and the Department of Pediatrics, The Children's Hospital of Philadelphia (Pa) (Dr Tunnessen).

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