Doença de Crohn quiescente no cólon descendente: Um estudo de caso

Detalhes bibliográficos
Autor(a) principal: Pombo dos Santos, Yasmim
Data de Publicação: 2024
Outros Autores: Flores Santos, Andressa, José Mazarotto, Edson, Cézar Gregório, Paulo, Gibbert, Luciana
Tipo de documento: Artigo
Idioma: por
Título da fonte: Brazilian Journal of Implantology and Health Sciences
Texto Completo: https://bjihs.emnuvens.com.br/bjihs/article/view/1253
Resumo: Crohn's Disease (CD) is a chronic inflammatory disease that affects the gastrointestinal tract with a complex and multifactorial etiological basis, the accuracy of which is unknown. This panenteric disease can affect any part of the gastrointestinal tract, from the mouth to the anus, with a greater incidence in the distal portion of the small intestine (ileum) and the colon, and the biggest challenge of CD is diagnosis, due to its similarity with other intestinal diseases such as ulcerative colitis, in the early stages CD may be misdiagnosed as irritable bowel syndrome. Given the difficulty of diagnosis, there is interest in reporting a case of quiescent CD in the descending colon in a 47-year-old female patient, diagnosed with the disease 6 years ago. The patient presented initial symptoms of the disease with abdominal pain and diarrhea, with the diagnosis concluded after 6 months of clinical investigation. Subsequently, drug treatment began in 2018, with significant improvement in the patient's condition after using the drug Entyvio (Vedolizumab®), following the treatment of CD with this drug until 2023. It concluded with this report of In this case, knowledge about CD, especially regarding early detection and appropriate treatment, are considered determining factors for improving the prognosis of CD.  
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spelling Doença de Crohn quiescente no cólon descendente: Um estudo de casoHipersensibilidadeCólonDoença inflamatória intestinalHypersensivitityColonInflammatory bowel diseaseHipersensibilidadColonEnfermedad inflamatoria intestinalCrohn's Disease (CD) is a chronic inflammatory disease that affects the gastrointestinal tract with a complex and multifactorial etiological basis, the accuracy of which is unknown. This panenteric disease can affect any part of the gastrointestinal tract, from the mouth to the anus, with a greater incidence in the distal portion of the small intestine (ileum) and the colon, and the biggest challenge of CD is diagnosis, due to its similarity with other intestinal diseases such as ulcerative colitis, in the early stages CD may be misdiagnosed as irritable bowel syndrome. Given the difficulty of diagnosis, there is interest in reporting a case of quiescent CD in the descending colon in a 47-year-old female patient, diagnosed with the disease 6 years ago. The patient presented initial symptoms of the disease with abdominal pain and diarrhea, with the diagnosis concluded after 6 months of clinical investigation. Subsequently, drug treatment began in 2018, with significant improvement in the patient's condition after using the drug Entyvio (Vedolizumab®), following the treatment of CD with this drug until 2023. It concluded with this report of In this case, knowledge about CD, especially regarding early detection and appropriate treatment, are considered determining factors for improving the prognosis of CD.  La Enfermedad de Crohn (EC) es una enfermedad inflamatoria crónica que afecta al tracto gastrointestinal con una base etiológica compleja y multifactorial, cuya exactitud se desconoce. Esta enfermedad panentérica puede afectar cualquier parte del tracto gastrointestinal, desde la boca hasta el ano, con mayor incidencia en la porción distal del intestino delgado (íleon) y el colon, y el mayor desafío de la EC es el diagnóstico, debido a su Al igual que otras enfermedades intestinales como la colitis ulcerosa, en las primeras etapas la EC puede diagnosticarse erróneamente como síndrome del intestino irritable. Dada la dificultad del diagnóstico, existe interés en reportar un caso de EC quiescente en colon descendente en una paciente de 47 años, diagnosticada con la enfermedad hace 6 años. El paciente presentó síntomas iniciales de la enfermedad con dolor abdominal y diarrea, concluyéndose el diagnóstico luego de 6 meses de investigación clínica. Posteriormente se inició tratamiento farmacológico en el año 2018, con mejoría significativa en el estado del paciente luego de utilizar el medicamento Entyvio (Vedolizumab®), siguiendo el tratamiento de la EC con este fármaco hasta el año 2023. Se concluyó con este informe de En este caso, conocimiento sobre la EC, especialmente en lo que respecta a la detección precoz y el tratamiento adecuado, se consideran factores determinantes para mejorar el pronóstico de la EC.A Doença de Crohn (DC) é uma doença inflamatória crônica que afeta o trato gastrointestinal de base etiológica complexa e multifatorial, cuja exatidão é desconhecida. Essa doença panentérica pode acometer qualquer parte do trato gastrintestinal, da boca ao ânus, com maior incidência na porção distal do intestino delgado (íleo) e o cólon, sendo que o maior desafio da DC é o diagnóstico, devido a sua semelhança com outras doenças intestinais como a retocolite ulcerativa, nos estágios iniciais a DC pode ser erroneamente diagnosticada como síndrome do intestino irritável. Diante da dificuldade do diagnóstico, desperta o interesse em relatar um caso de DC quiescente no cólon descendente em uma paciente do sexo feminino, de 47 anos, com diagnóstico da doença há 6 anos. A paciente apresentou como sintomas iniciais da doença dores abdominais e diarreia, com conclusão do diagnostico após 6 meses de investigação clínica. Posteriormente, iniciou-se o tratamento medicamentoso em 2018, com melhora significativa no quadro da paciente após a utilização do fármaco Entyvio (Vedolizumab®), seguindo o tratamento da DC com este medicamento até o ano de 2023. Concluiu-se com esse relato de caso que o conhecimento sobre DC, especialmente no que tange a detecção precoce e tratamento adequado, são considerados fatores determinantes para melhorar o prognóstico da DC.Specialized Dentistry Group2024-01-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/125310.36557/2674-8169.2024v6n1p1291-1300Brazilian Journal of Implantology and Health Sciences ; Vol. 6 No. 1 (2024): BJIHS QUALIS B3; 1291-1300Brazilian Journal of Implantology and Health Sciences ; Vol. 6 Núm. 1 (2024): BJIHS QUALIS B3; 1291-1300Brazilian Journal of Implantology and Health Sciences ; v. 6 n. 1 (2024): BJIHS QUALIS B3; 1291-13002674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/1253/1452Copyright (c) 2024 Yasmim Pombo dos Santos, Andressa Flores Santos, Edson José Mazarotto, Paulo Cézar Gregório, Luciana Gibberthttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessPombo dos Santos, YasmimFlores Santos, AndressaJosé Mazarotto, EdsonCézar Gregório, PauloGibbert, Luciana2024-01-17T16:25:41Zoai:ojs.bjihs.emnuvens.com.br:article/1253Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2024-01-17T16:25:41Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false
dc.title.none.fl_str_mv Doença de Crohn quiescente no cólon descendente: Um estudo de caso
title Doença de Crohn quiescente no cólon descendente: Um estudo de caso
spellingShingle Doença de Crohn quiescente no cólon descendente: Um estudo de caso
Pombo dos Santos, Yasmim
Hipersensibilidade
Cólon
Doença inflamatória intestinal
Hypersensivitity
Colon
Inflammatory bowel disease
Hipersensibilidad
Colon
Enfermedad inflamatoria intestinal
title_short Doença de Crohn quiescente no cólon descendente: Um estudo de caso
title_full Doença de Crohn quiescente no cólon descendente: Um estudo de caso
title_fullStr Doença de Crohn quiescente no cólon descendente: Um estudo de caso
title_full_unstemmed Doença de Crohn quiescente no cólon descendente: Um estudo de caso
title_sort Doença de Crohn quiescente no cólon descendente: Um estudo de caso
author Pombo dos Santos, Yasmim
author_facet Pombo dos Santos, Yasmim
Flores Santos, Andressa
José Mazarotto, Edson
Cézar Gregório, Paulo
Gibbert, Luciana
author_role author
author2 Flores Santos, Andressa
José Mazarotto, Edson
Cézar Gregório, Paulo
Gibbert, Luciana
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Pombo dos Santos, Yasmim
Flores Santos, Andressa
José Mazarotto, Edson
Cézar Gregório, Paulo
Gibbert, Luciana
dc.subject.por.fl_str_mv Hipersensibilidade
Cólon
Doença inflamatória intestinal
Hypersensivitity
Colon
Inflammatory bowel disease
Hipersensibilidad
Colon
Enfermedad inflamatoria intestinal
topic Hipersensibilidade
Cólon
Doença inflamatória intestinal
Hypersensivitity
Colon
Inflammatory bowel disease
Hipersensibilidad
Colon
Enfermedad inflamatoria intestinal
description Crohn's Disease (CD) is a chronic inflammatory disease that affects the gastrointestinal tract with a complex and multifactorial etiological basis, the accuracy of which is unknown. This panenteric disease can affect any part of the gastrointestinal tract, from the mouth to the anus, with a greater incidence in the distal portion of the small intestine (ileum) and the colon, and the biggest challenge of CD is diagnosis, due to its similarity with other intestinal diseases such as ulcerative colitis, in the early stages CD may be misdiagnosed as irritable bowel syndrome. Given the difficulty of diagnosis, there is interest in reporting a case of quiescent CD in the descending colon in a 47-year-old female patient, diagnosed with the disease 6 years ago. The patient presented initial symptoms of the disease with abdominal pain and diarrhea, with the diagnosis concluded after 6 months of clinical investigation. Subsequently, drug treatment began in 2018, with significant improvement in the patient's condition after using the drug Entyvio (Vedolizumab®), following the treatment of CD with this drug until 2023. It concluded with this report of In this case, knowledge about CD, especially regarding early detection and appropriate treatment, are considered determining factors for improving the prognosis of CD.  
publishDate 2024
dc.date.none.fl_str_mv 2024-01-17
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://bjihs.emnuvens.com.br/bjihs/article/view/1253
10.36557/2674-8169.2024v6n1p1291-1300
url https://bjihs.emnuvens.com.br/bjihs/article/view/1253
identifier_str_mv 10.36557/2674-8169.2024v6n1p1291-1300
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://bjihs.emnuvens.com.br/bjihs/article/view/1253/1452
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info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Specialized Dentistry Group
publisher.none.fl_str_mv Specialized Dentistry Group
dc.source.none.fl_str_mv Brazilian Journal of Implantology and Health Sciences ; Vol. 6 No. 1 (2024): BJIHS QUALIS B3; 1291-1300
Brazilian Journal of Implantology and Health Sciences ; Vol. 6 Núm. 1 (2024): BJIHS QUALIS B3; 1291-1300
Brazilian Journal of Implantology and Health Sciences ; v. 6 n. 1 (2024): BJIHS QUALIS B3; 1291-1300
2674-8169
reponame:Brazilian Journal of Implantology and Health Sciences
instname:Grupo de Odontologia Especializada (GOE)
instacron:GOE
instname_str Grupo de Odontologia Especializada (GOE)
instacron_str GOE
institution GOE
reponame_str Brazilian Journal of Implantology and Health Sciences
collection Brazilian Journal of Implantology and Health Sciences
repository.name.fl_str_mv Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)
repository.mail.fl_str_mv journal.bjihs@periodicosbrasil.com.br
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