UC vs Crohns Flashcards
Transmural inflammation
Crohns
Fistula 20%
Crohns
Peri-anal disease 25% total
UC
Per-anal disease up to 75%
Crohns
-if small bowel involved –> 75%
Pseuopolyps
UC
Mucosal inflammation
UC
Dsicrete deep ulcers and fissures
Crohns
Multiple small ulcers
UC
Crpyt architectural distortion
UC
Cobbletsone appearance
Crohns
Goblet cell depletion
UC
Granulomas present
Crohns
Relative risk of colorectal cancer = 2.5
Crohns
Crypt abscess
UC
Submucosal chronic inflammatory cell infiltrate
UC
25% absolute risk of colorectal cancer
UC
- if pancolitis
/ 30 years
Smoking protective
UC
Smoking worsens
Crohns
CARD15 (NOD2), dysregulation of adaptive immunity
IL23R), and deficient autophagy (ATG16L1, IRGM
Crohns
Primary sclerosing cholangitis
UC
Rose-thorn ulcers, long
irregular terminal ileal stricture
Crohns
Loss of haustrations
UC
Widening of the retrorectal space
UC
Due to perirectal inflammation and reduced distensibility of the rectum
Colonoscopy should be performed at 2-yearly intervals
UC