UNIVERSITAS AIRLANGGA



Detail Article

Dental Journal (Majalah Kedokteran Gigi)

ISSN 1978-3728

Vol. 42 / No. 2 / Published : 2009-04

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Original Article :

Diagnosis and management of crohn’s disease in retarded child

Author :

  1. Rahmi Amtha*1
  1. Department of Oral Medicine
    Faculty of Dentistry, Trisakti University
    Jakarta – Indonesia

Abstract :

Background: Crohn’s disease is an uncommon condition characterized by granulomatous lesions. It is a rare disease and affects mainly in the terminal ileum. It may also manifest in the oral cavity as an unhealed, painful chronic apthous-like ulcer and may be undiganosed, so that it leads to the mismanagement of the disease. Purpose: To overview the establisment and managment of a retarded child with chronic painfull ulcers and gastrointestinal problems. Case: An 11-year-old retarded child who complained of ulcers since 6 months ago on both side of the cheek and lateral border of the tongue. Large irregular lesions were found accompanied by lips swelling, gingival hyperplasia, mucosal tags, hypersalivation. The blood test showed that the patient was suffering from anemia and haematinic (Fe, Folat and B12) deficiencies. Weight loss occurred for the last 6 months, abdominal pain and constipation were also identified. Daily food pattern showed imbalance food intake. Histopathology features showed granolumatous lesions and was confirmed as Crohn’s disease. Case management: Reassurance and team work with gastroenterologist were performed. Systemic sulfasalazin combined with corticosteroid and multivitamin were administered. Oral hygiene was maintained with hyaluronic acid mouthwash. Reduced in size of ulcer, pain and swelling were shown gradually. Oral ulcers and gastrointestinal symptoms disappeared after 2 months of treatment. Conclusion: Diagnosis of Crohn’s disease needs a comprehensive clinical examination and histopathological test is mandatory to be able to manage the disease througly.

Keyword :

Crohn’s disease, diagnosis, management, child,


References :





Archive Article

Cover Media Content

Volume : 42 / No. : 2 / Pub. : 2009-06
  1. Diagnosis And Management Of Crohn’s Disease In Retarded Child
  2. Pseudomembranous Candidiasis In Patient Wearing Full Denture
  3. Cooperation Of Patient As Key Factor To Overcome Oral Habits
  4. Transformation Analysis Of Oral Epithelial Dysplasia To Cis And Scc By P53 Expression And Gene Mutations
  5. Aesthethic And Masticatory Rehabilitation On Post Mandibular Resection With Combination Of Hollow Obturator And Hybrid Prosthesis
  6. The Effect Of Watermelon Frost On Prostaglandin E2 (pge2) In Inflamed Pulp Tissue (in Vitro Study)
  7. Shear Bond Strength Between Porcelain And Nano Filler Composite Resin With Or Without 9% Hydrofluoric Acid Etching
  8. Screening Of Oral Premalignant Lesions In Smokers Using Toluidine Blue
  9. Biocompatibility Of Acrylic Resin On Bhk–21 Cell Line After Being Soaked In Sodium Hypochlorite
  10. The Aesthetic Treatment For Anterior Teeth With Lost Crown, By Endorestoration
  11. Prognostic Value Of Molecular Markers Of Oral Pre-malignant And Malignant Lesions