inflammatory bowel disease Flashcards
name 5 IBD conditions?
Ulcerative colitis Crohn's disease Ischaemic colitis Radiation colitis Appendicitis
definition of idiopathic IBD?
chronic inflammatory conditions resulting from inappropriate and persistent activation of mucosal immune system driven by presence of normal intraluminal flora
2 components of idiopathic IBD?
crohns
uc
aetiology of idiopathic IBD?
strong immune response against normal flora with defects in epithelial barrier function in genetically susceptible individuals
% of affected 1st degree relatives in affected idiopathic IBD patients?
15%
which gene mutation is seen in Crohns?
NOD2
which gene associations in UC?
HLA associations
diagnosis of idiopathic IBD?
clinical history, radiology and pathology evidence
test for diagnosing idiopathic IBD?
pANCA
pANCA’s role in idiopathic IBD?
+ve in 75% UC patients, 11% CD patients
issue with pANCA?
is more useful in diagnosing UC patients (75% cases) but only works for 11% of CD patients