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Crohn's diseaseCCrohn's diseaseCrohn's diseaseEnglishGastrointestinalPre-teen (9-12 years);Teen (13-18 years)Mouth;Esophagus;Stomach;Small Intestine;Large Intestine/Colon;RectumDigestive systemConditions and diseasesCaregivers Adult (19+)NA2013-11-08T05:00:00Z8.0000000000000061.50000000000001168.00000000000Health (A-Z) - ConditionsHealth A-Z<p>Information for parents and children with the inflammatory bowel disease, Crohn's disease.</p><h2>What is Crohn's disease?</h2> <figure><span class="asset-image-title">Gastrointestinal (GI) tract </span> <img src="https://assets.aboutkidshealth.ca/akhassets/GI_tract_MED_ILL_EN.jpg" alt="Location of mouth, pharynx, esophagus, stomach, large intestine, small intestine and anus" /> <figcaption class="asset-image-caption">The gastrointestinal (GI) tract is a winding and muscular tube. It starts at the mouth and ends at the anus. It is also called the alimentary canal, because food travels through it.</figcaption> </figure> <p>Crohn's disease (CD) is a type of inflammatory bowel disease (IBD). CD is a condition that causes inflammation in your gastrointestinal (GI) tract. Inflammation is when part of your body gets red, swollen and painful. When you have CD, all of the body parts that deal with processing what you eat from the time food goes into your mouth to the time it comes out of the other end can become inflamed.</p><p>The other main type of IBD is called ulcerative colitis (UC). CD and UC are very similar, but not exactly the same. In UC, inflammation only happens in the bowel (also called the large intestine or colon). Your doctor will ask you questions and do certain tests to determine if you have CD or UC and will suggest treatments based on which form of IBD you have. You can get either type of IBD at any age. There are over 5,900 children under 18 years old in Canada with IBD right now.</p><p>When it is too difficult to tell whether a patient has CD or UC, their IBD is classified as IBD-U. The "U" stands for unclassified; IBD-U may also be called indeterminate colitis.</p> <figure class="asset-c-80"> <img src="https://assets.aboutkidshealth.ca/akhassets/Crohns_vs_ulcerative_colitis_MED_ILL_EN.png" alt="Intestines with Crohn’s disease and intestines with ulcerative colitis" /> <figcaption class="asset-image-caption">CD and UC are very similar, but they are not exactly the same. CD can affect any part of the GI tract from mouth to anus. Your entire GI tract is not affected, but there can be inflammation in several different areas. UC only affects the large intestine. Sometimes it affects only one side, and sometimes it affects the whole large intestine.</figcaption> </figure><h2>Key points</h2> <ul> <li>Crohn's disease is a type of inflammatory bowel disease that can cause inflammation anywhere in the digestive tract between the mouth and the anus.</li> <li>Symptoms may include stomach pain, vomiting, loss of appetite, fevers, diarrhea, weight loss, poor growth, mouth ulcers or swollen lips.</li> <li>There is no cure for Crohn's disease but there are six types of medications that can help treat the symptoms: 5-ASA, immunomodulators, steroids, antibiotics, enteral nutrition and biologics.</li> </ul><h2>What does Crohn's disease feel like?</h2> <figure> <span class="asset-image-title">Crohn's disease in the </span> <span class="asset-image-title">anus</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Crohns_perianal_MED_ILL_EN.jpg" alt="Rectum and anus with fistulae and abcesses" /> <figcaption class="asset-image-caption">Inflammation</figcaption> <figcaption class="asset-image-caption"> from Crohn's disease can cause fistulae — small tears in the anus. Fistulae can connect the bowel to other parts of the body or to the outside. Tender masses of fluids can build up within the fistulae. These are called abscesses.</figcaption> </figure> <p>What does Crohn's disease feel like? Someone with CD can have many different symptoms, like stomach pain, vomiting, loss of appetite and even fevers. They may also experience diarrhea (which can be bloody), weight loss, poor growth, mouth ulcers, rashes, joint pain and/or eye redness. Some people may have just a few of these symptoms, while other people may experience them all.</p><p>Some people may have inflammation in the anus, which could cause fissures (fiz-urs) and fistulae (fist-u-lay). Fissures are like small tears inside the anus. Fistulae are like little tunnels that connect your colon to other areas of your body that they are normally not connected to. If a fistula forms between your bowel and the skin around the anus, you may have some fluid leaking from time to time. This might make it uncomfortable to sit down. A fistula may also connect to tissues around the anus, which can become infected. This is called an abscess (ab-ses), and it can be painful.</p><p>CD is a chronic condition; this means that it is for life. Although there is currently no cure, there are a lot of treatment options. When you find one that helps to keep your child's CD under control, they can be in remission (that means "symptom-free") for a long time.</p><h2>What causes Crohn's Disease</h2><p>Even though there have been many scientific studies, researchers do not know what causes CD. They do know that it can run in families. You are more likely to get CD if you have a first degree relative, like a brother or sister, who has it. You are even more likely to get it if that brother or sister is your identical twin. Anyone can get CD at any age. In children and teens, it occurs slightly more often in boys than in girls. </p><p>Researchers think CD is caused by a combination of three things.<br></p><ul><li>Genetics: Some people may have genes in their body that increase their chances of getting CD. Studies have shown that there are over 30 genes that may be linked with IBD.</li><li>Environment: Our environment includes anything our body comes in contact with. Infections and food are the most common types of environmental "triggers" that may contribute to disease, but there may be others.</li><li>Immune system: Our immune system protects us from harmful bacteria and viruses, but in some people, it can cause inflammation in the body (like in the GI tract).</li></ul><h2>What kinds of treatments are there for Crohn's Disease?</h2><p>There are six classes of medicines used to treat the symptoms of CD. These medicines can come in pills, liquids, intravenously and in a suppository or enema. Check with your child's healthcare provider to learn more about their medications.</p> <ul><li>5-aminosalicylic acid (5-ASA): Used for milder forms of CD, 5-ASA decreases inflammation in the intestinal tract. It can be taken orally (by mouth) or rectally.</li><li>Immunomodulators: Used for long-term treatment, these drugs work by suppressing the immune system to help reduce inflammation. Immunomodulators may also help patients stay in remission. They are not intended for acute flare-ups. Immunomodulators are given orally or by injection.</li><li>Steroids: These drugs are used for moderate-to-severe CD for a short period of time to help decrease the amount of inflammation in the body. They can be taken orally, intravenously or rectally.</li><li>Antibiotics: Antibiotics are generally effective for CD patients with an abscess, a fistula or an infection. They can be given orally or intravenously.</li><li>Enteral nutrition: Enteral nutrition, used for short- or long-term treatment, can help rehabilitate patients who are malnourished because of their CD. It is also helpful for those who have small bowel disease. It can be given orally or by a nasogastric tube.</li><li>Biologics: These drugs inhibit specific substances in the body to reduce inflammation. They are often administered intravenously.</li></ul>
Maladie de CrohnMMaladie de CrohnCrohn's diseaseFrenchGastrointestinalPre-teen (9-12 years);Teen (13-18 years)Mouth;Esophagus;Stomach;Small Intestine;Large Intestine/Colon;RectumDigestive systemConditions and diseasesCaregivers Adult (19+)NA2013-11-08T05:00:00Z8.0000000000000065.0000000000000942.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Renseignements pour les parents et les enfants atteints de la maladie intestinale inflammatoire appelée maladie de Crohn.</p><h2>En quoi consiste la maladie de Crohn?</h2> <figure> <span class="asset-image-title">L’appareil gastro-intestinal (GI)</span><img src="https://assets.aboutkidshealth.ca/akhassets/GI_tract_MED_ILL_FR.jpg" alt="L’emplacement de la bouche, du pharynx, de l’œsophage, de l’estomac, du gros intestin, de l’intestin grêle et de l’anus" /><figcaption class="asset-image-caption">L’appareil gastro‑intestinal (GI) est un tube musculaire enroulé sur lui‑même. Il s’étend de la bouche à l’anus. On l’appelle aussi tube digestif puisque c’est la voie par laquelle les aliments cheminent dans l’organisme. </figcaption></figure> <p>La maladie de Crohn (MC) est une forme de maladie intestinale inflammatoire (MII). Elle entraîne une inflammation de l’appareil gastro intestinal (GI). L’inflammation est une réaction d’une partie de l’organisme qui devient rouge, enflée et douloureuse. Chez les personnes atteintes de la MC, toutes les parties de l’organisme servant à transformer les aliments que vous consommez à compter du moment où vous vous les mettez dans la bouche jusqu’à leur expulsion par l’anus – peuvent s’enflammer.<br></p><p>L’autre type courant de MII est la colite ulcéreuse (CU). Même si la MC et la CU sont étroitement apparentées, leurs symptômes ne sont pas tout à fait identiques. Dans la CU, l’inflammation ne touche que l’intestin (aussi appelé gros intestin ou côlon) Votre médecin vous posera des questions et vous fera subir certains tests afin de déterminer si vous êtes atteint de la MC ou de la CU et vous proposera des traitements appropriés. Les deux types de MII frappent à tout âge. À l’heure actuelle, plus de 5 900 enfants âgés de moins de 18 ans souffrent de MII au Canada.</p><p>Lorsqu’il est trop difficile de préciser si une personne est atteinte de MC ou de CU, la MII est alors classée parmi les IBD-U (pour inflammatory bowel disease of the unclassified type), c’est à dire les maladies intestinales inflammatoires indéterminées qu’on nomme aussi colites indéterminées.</p> <figure class="asset-c-80"> <img src="https://assets.aboutkidshealth.ca/akhassets/Crohns_vs_ulcerative_colitis_MED_ILL_FR.png" alt="Intestins avec maladie de Crohn et intestins avec colite ulcéreuse" /> <figcaption class="asset-image-caption">Même si la CU et la MC sont étroitement apparentées, leurs symptômes ne sont pas tout à fait identiques. La MC peut s’installer dans n’importe quel segment de l’appareil GI, de la bouche à l’anus. Ce n’est pas tout l’appareil GI qui est touché, mais plusieurs zones peuvent être enflammées. Le CU n’atteint que le gros intestin, soit d’un côté seulement, soit dans son ensemble.</figcaption></figure><h2>À retenir</h2><ul><li>La maladie de Crohn (MC) est une forme de maladie intestinale inflammatoire pouvant entraîner l’inflammation de toutes les parties de de l’appareil gastro intestinal, de la bouche à l’anus.</li><li>Ses symptômes peuvent englober des douleurs abdominales, des vomissements, la perte d’appétit, de la fièvre, des diarrhées, la perte de poids, un retard de croissance, des ulcères buccaux ou l’enflure des lèvres.</li><li>Même si la maladie de Crohn ne se guérit pas, six types de traitement, dont cinq classes de médicaments, servent aux symptômes de la MC. Les cinq médicaments sont : le 5-ASA, les immunomodulateurs, les stéroïdes, les antibiotiques et les agents biologiques. L’autre traitement consiste en la nutrition entérale.</li></ul><h2>Quels sont les symptômes de la maladie de Crohn?</h2> <figure><span class="asset-image-title">La maladie de Crohn (MC) à l’anus</span><img src="https://assets.aboutkidshealth.ca/akhassets/Crohns_perianal_MED_ILL_FR.jpg" alt="Rectum et anus avec fistules et abcès" /><figcaption class="asset-image-caption">L’inflammation due à la maladie de Crohn peut causer des fissures – à savoir de petites déchirures à l’intérieur de l’anus. Des fistules peuvent relier l’intestin à d’autres parties de l’organisme ou à l’extérieur du corps. Des masses de liquides sensibles à la pression peuvent s’accumuler dans les fistules. Ces masses sont des abcès.</figcaption> </figure> <p>Quels sont les malaises qu’entraîne la maladie de Crohn? Une personne qui en est atteinte peut manifester des symptômes très variés comme des crampes abdominales, des vomissements, la perte d’appétit et même de la fièvre. La MC peut aussi être accompagnée de diarrhées (éventuellement sanglantes), d’une perte de poids, d’un retard de croissance, d’ulcères buccaux, d’éruptions cutanées, de douleurs articulaires et de rougeur des yeux. Certains peuvent ne manifester que quelques symptômes, tandis que d’autres les ont tous.</p><p>Certaines personnes peuvent même souffrir d’inflammation à l’anus, ce qui est susceptible de causer des fissures et des fistules. Les fissures sont de petites déchirures à l’intérieur de l’anus. Les fistules sont de petits tunnels reliant le côlon à d’autres parties du corps. Ces tunnels n’existent pas en temps normal. Si une fistule se forme entre l’intestin et la peau entourant l’anus, des écoulements pourraient s’en échapper de temps à autre, ce qui est susceptible de causer de l’inconfort en position assisse. Une fistule pourrait aussi atteindre les tissus entourant l’anus qui risquent de s’infecter. Une telle infection se présente sous forme d’abcès qui peuvent être douloureux.</p><p>Certaines personnes peuvent même souffrir d’inflammation à l’anus, ce qui est susceptible de causer des fissures et des fistules. Les fissures sont de petites déchirures à l’intérieur de l’anus. Les fistules sont de petits tunnels reliant le côlon à d’autres parties du corps. Ces tunnels n’existent pas en temps normal. Si une fistule se forme entre l’intestin et la peau entourant l’anus, des écoulements pourraient s’en échapper de temps à autre, ce qui est susceptible de causer de l’inconfort en position assisse. Une fistule pourrait aussi atteindre les tissus entourant l’anus qui risquent de s’infecter. Une telle infection se présente sous forme d’abcès qui peuvent être douloureux.</p><h2>Quelles sont les causes de la maladie de Crohn?</h2> <p>Même si la MC a fait l’objet de nombreuses études scientifiques, les chercheurs n’ont pas encore cerné ses causes. Ils savent néanmoins que la maladie est de famille. Vous risquez davantage d’en être atteint si un parent au premier degré, comme un frère ou une sœur, en souffre. Vous êtes encore plus susceptible de l’avoir si ce frère ou cette sœur est votre jumeau ou jumelle identique. La MC touche les gens de tout âge. Pendant l’enfance et l’adolescence, la MC est légèrement plus fréquente chez les garçons que chez les filles.</p> <p>Selon les chercheurs, la MC serait due à la combinaison de trois facteurs :</p> <ul> <li>Génétique : Certaines personnes peuvent posséder des gènes qui augmentent les risques de MC. D’après les études, plus de 30 gènes pourraient être associés aux MII.</li> <li>Environnement : Notre environnement englobe tout ce avec quoi notre corps vient en contact. Les infections et les aliments sont les formes les plus courantes « de déclencheurs » environnementaux pouvant jouer un rôle dans la contraction de maladies, mais il peut en exister d’autres.</li> <li>Système immunitaire : Même si le système immunitaire protège notre organisme contre les bactéries nuisibles et les virus, chez certains, il peut entraîner une inflammation au sein de l’organisme (par exemple, dans l’appareil GI).</li> </ul><h2>Quels sont les modes de traitement?</h2> <p>Six types de traitement, dont cinq classes de médicaments, servent à traiter les symptômes de la MC (voir ci dessous). Les médicaments peuvent être administrés sous forme de pilules, de liquides, de suppositoires ou de lavements. Renseignez vous auprès du fournisseur de soins de santé de votre enfant pour en savoir davantage à ce sujet.</p> <p>Voici les différents types de traitements pour la MC :</p> <ul> <li>Acide 5-aminosalicylique (5-ASA) : Utilisés pour les formes plus légères de MC, les médicaments à base de 5 ASA permettent de réduire l’inflammation dans l’appareil gastro intestinal. Ils peuvent être pris par voie orale ou rectale.</li> <li>Immunomodulateurs : Utilisés à des fins de traitement à long terme, ces médicaments inhibent le système immunitaire pour réduire l’inflammation. Ils peuvent également servir à prolonger les périodes de rémission. Ils ne sont pas destinés au traitement des poussées aiguës. Les immunomodulateurs sont administrés oralement ou par injection.</li> <li>Stéroïdes : Ces médicaments servent aux poussées de MC de modérées à graves. Ils sont employés pendant de courtes périodes pour favoriser la diminution de l’inflammation dans l’organisme. Ils peuvent être administrés par voie orale, intraveineuse ou rectale.</li> <li>Antibiotiques : Les antibiotiques sont généralement efficaces pour le traitement de la MC accompagnée d’un abcès, d’une fistule ou d’une infection. Ils sont administrés par voie orale ou intraveineuse.</li> <li>Nutrition entérale : La nutrition entérale peut servir de traitement à court ou à long terme en vue de la réhabilitation de personnes dénutries par suite de la MC. Le traitement est aussi utile pour la maladie de l’intestin grêle. L’alimentation peut se faire oralement ou par voie entérale au moyen d’une sonde nasogastrique.</li> <li>Agents biologiques : Ces médicaments inhibent des substances particulières dans l’organisme pour réduire l’inflammation. Ils sont souvent administrés par voie intraveineuse.</li> </ul>

 

 

 

 

Crohn's disease923.000000000000Crohn's diseaseCrohn's diseaseCEnglishGastrointestinalPre-teen (9-12 years);Teen (13-18 years)Mouth;Esophagus;Stomach;Small Intestine;Large Intestine/Colon;RectumDigestive systemConditions and diseasesCaregivers Adult (19+)NA2013-11-08T05:00:00Z8.0000000000000061.50000000000001168.00000000000Health (A-Z) - ConditionsHealth A-Z<p>Information for parents and children with the inflammatory bowel disease, Crohn's disease.</p><h2>What is Crohn's disease?</h2> <figure><span class="asset-image-title">Gastrointestinal (GI) tract </span> <img src="https://assets.aboutkidshealth.ca/akhassets/GI_tract_MED_ILL_EN.jpg" alt="Location of mouth, pharynx, esophagus, stomach, large intestine, small intestine and anus" /> <figcaption class="asset-image-caption">The gastrointestinal (GI) tract is a winding and muscular tube. It starts at the mouth and ends at the anus. It is also called the alimentary canal, because food travels through it.</figcaption> </figure> <p>Crohn's disease (CD) is a type of inflammatory bowel disease (IBD). CD is a condition that causes inflammation in your gastrointestinal (GI) tract. Inflammation is when part of your body gets red, swollen and painful. When you have CD, all of the body parts that deal with processing what you eat from the time food goes into your mouth to the time it comes out of the other end can become inflamed.</p><p>The other main type of IBD is called ulcerative colitis (UC). CD and UC are very similar, but not exactly the same. In UC, inflammation only happens in the bowel (also called the large intestine or colon). Your doctor will ask you questions and do certain tests to determine if you have CD or UC and will suggest treatments based on which form of IBD you have. You can get either type of IBD at any age. There are over 5,900 children under 18 years old in Canada with IBD right now.</p><p>When it is too difficult to tell whether a patient has CD or UC, their IBD is classified as IBD-U. The "U" stands for unclassified; IBD-U may also be called indeterminate colitis.</p> <figure class="asset-c-80"> <img src="https://assets.aboutkidshealth.ca/akhassets/Crohns_vs_ulcerative_colitis_MED_ILL_EN.png" alt="Intestines with Crohn’s disease and intestines with ulcerative colitis" /> <figcaption class="asset-image-caption">CD and UC are very similar, but they are not exactly the same. CD can affect any part of the GI tract from mouth to anus. Your entire GI tract is not affected, but there can be inflammation in several different areas. UC only affects the large intestine. Sometimes it affects only one side, and sometimes it affects the whole large intestine.</figcaption> </figure><h2>Where does Crohn's disease happen?</h2><p>CD can occur anywhere along the GI tract, from the mouth to anus. This means that parts of your child's GI tract can be healthy while other parts are inflamed. The walls of the inflamed area thicken and develop a cobblestone-like surface. Knowing where your child has inflammation can help you, your child and their doctor to understand your child's symptoms and choose the right treatment.<br></p> <figure class="asset-c-80"> <img src="https://assets.aboutkidshealth.ca/akhassets/Crohns_disease_MED_ILL_EN.png" alt="Close-up of a normal intestine and close-up of an intestine with Crohn’s disease" /> <figcaption class="asset-image-caption">Crohn's disease can cause inflammation in any part of the GI tract. The affected area can have thickened walls, a cobblestone-like surface, fissures and other features depending on location.</figcaption> </figure><h2>Key points</h2> <ul> <li>Crohn's disease is a type of inflammatory bowel disease that can cause inflammation anywhere in the digestive tract between the mouth and the anus.</li> <li>Symptoms may include stomach pain, vomiting, loss of appetite, fevers, diarrhea, weight loss, poor growth, mouth ulcers or swollen lips.</li> <li>There is no cure for Crohn's disease but there are six types of medications that can help treat the symptoms: 5-ASA, immunomodulators, steroids, antibiotics, enteral nutrition and biologics.</li> </ul><h2>What does Crohn's disease feel like?</h2> <figure> <span class="asset-image-title">Crohn's disease in the </span> <span class="asset-image-title">anus</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Crohns_perianal_MED_ILL_EN.jpg" alt="Rectum and anus with fistulae and abcesses" /> <figcaption class="asset-image-caption">Inflammation</figcaption> <figcaption class="asset-image-caption"> from Crohn's disease can cause fistulae — small tears in the anus. Fistulae can connect the bowel to other parts of the body or to the outside. Tender masses of fluids can build up within the fistulae. These are called abscesses.</figcaption> </figure> <p>What does Crohn's disease feel like? Someone with CD can have many different symptoms, like stomach pain, vomiting, loss of appetite and even fevers. They may also experience diarrhea (which can be bloody), weight loss, poor growth, mouth ulcers, rashes, joint pain and/or eye redness. Some people may have just a few of these symptoms, while other people may experience them all.</p><p>Some people may have inflammation in the anus, which could cause fissures (fiz-urs) and fistulae (fist-u-lay). Fissures are like small tears inside the anus. Fistulae are like little tunnels that connect your colon to other areas of your body that they are normally not connected to. If a fistula forms between your bowel and the skin around the anus, you may have some fluid leaking from time to time. This might make it uncomfortable to sit down. A fistula may also connect to tissues around the anus, which can become infected. This is called an abscess (ab-ses), and it can be painful.</p><p>CD is a chronic condition; this means that it is for life. Although there is currently no cure, there are a lot of treatment options. When you find one that helps to keep your child's CD under control, they can be in remission (that means "symptom-free") for a long time.</p><h2>What causes Crohn's Disease</h2><p>Even though there have been many scientific studies, researchers do not know what causes CD. They do know that it can run in families. You are more likely to get CD if you have a first degree relative, like a brother or sister, who has it. You are even more likely to get it if that brother or sister is your identical twin. Anyone can get CD at any age. In children and teens, it occurs slightly more often in boys than in girls. </p><p>Researchers think CD is caused by a combination of three things.<br></p><ul><li>Genetics: Some people may have genes in their body that increase their chances of getting CD. Studies have shown that there are over 30 genes that may be linked with IBD.</li><li>Environment: Our environment includes anything our body comes in contact with. Infections and food are the most common types of environmental "triggers" that may contribute to disease, but there may be others.</li><li>Immune system: Our immune system protects us from harmful bacteria and viruses, but in some people, it can cause inflammation in the body (like in the GI tract).</li></ul><h2>What kinds of treatments are there for Crohn's Disease?</h2><p>There are six classes of medicines used to treat the symptoms of CD. These medicines can come in pills, liquids, intravenously and in a suppository or enema. Check with your child's healthcare provider to learn more about their medications.</p> <ul><li>5-aminosalicylic acid (5-ASA): Used for milder forms of CD, 5-ASA decreases inflammation in the intestinal tract. It can be taken orally (by mouth) or rectally.</li><li>Immunomodulators: Used for long-term treatment, these drugs work by suppressing the immune system to help reduce inflammation. Immunomodulators may also help patients stay in remission. They are not intended for acute flare-ups. Immunomodulators are given orally or by injection.</li><li>Steroids: These drugs are used for moderate-to-severe CD for a short period of time to help decrease the amount of inflammation in the body. They can be taken orally, intravenously or rectally.</li><li>Antibiotics: Antibiotics are generally effective for CD patients with an abscess, a fistula or an infection. They can be given orally or intravenously.</li><li>Enteral nutrition: Enteral nutrition, used for short- or long-term treatment, can help rehabilitate patients who are malnourished because of their CD. It is also helpful for those who have small bowel disease. It can be given orally or by a nasogastric tube.</li><li>Biologics: These drugs inhibit specific substances in the body to reduce inflammation. They are often administered intravenously.</li></ul><img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/crohns_disease.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/crohns_disease.jpgCrohn's diseaseFalse

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