Recurrent Pediatric Perianal Swelling. Pediatr Ann 2016 Feb;45(2):e59-62
Date
02/16/2016Pubmed ID
26878185DOI
10.3928/00904481-20160113-02Scopus ID
2-s2.0-84957870601 (requires institutional sign-in at Scopus site) 1 CitationAbstract
Pediatric inflammatory bowel disease is a chronic gastrointestinal disease consisting of Crohn's disease (CD) and ulcerative colitis (UC). Both disease processes can share similar clinical symptoms including abdominal pain, diarrhea, hematochezia, and weight loss; CD can also be complicated by penetrating and fistulizing disease. Perianal skin tags, perianal abscesses, recto-cutaneous fistulae, and rectal stenosis are among the phenotypic characteristics of perianal CD. Current treatment strategies are focused on the surgical drainage of abscesses and the closure of fistulous tracts as well as controlling intestinal inflammation with the use of immunomodulators (6-mercaptopurine and methotrexate) and biologics (infliximab and adalimumab). Current guidelines by the American Gastroenterology Association and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition recommend a combination of surgical intervention and medical management for the treatment of perianal CD.
Author List
Cordova J, Chugh A, Rivera Rivera ED, Young SAuthor
Ankur A. Chugh MD Assistant Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AbscessAdolescent
Anus Diseases
Child
Crohn Disease
Humans
Male
Rectal Fistula
Recurrence
