Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Dec;11(12):7968-7971.
doi: 10.4103/jfmpc.jfmpc_1334_22. Epub 2023 Jan 17.

Late onset crohns ileitis-A diagnostic dilemma

Ashok Sunder  1 , Manish Kumar  1 , Sudip Saha  1 , Bhagyalakshmi Satyanarayan  1
Affiliations
Case Reports

Late onset crohns ileitis-A diagnostic dilemma

Ashok Sunder et al. J Family Med Prim Care. 2022 Dec.

Abstract

Crohn's disease may affect individuals across all age groups. Usually, it tends to start at a young age, hence late onset Crohn's disease may be difficult to diagnose. The incidence of late-onset inflammatory bowel disease in the United States is 4 to 8 per 100,000 per year. The incidence of Crohn's disease is more in the United States and Europe and less in Asia and Africa. This makes it more challenging to suspect Crohn's disease in an elderly individual of Indian origin. It may be confused with Irritable bowel syndrome or Intestinal tuberculosis.

Keywords: Crohn’s disease; inflammatory bowel disease; irritable bowel syndrome; late-onset Crohn’s disease.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Mucosal edema.
Figure 2
Figure 2
Ileal ulcers.
Figure 3
Figure 3
Ileal hyperemia.
Figure 4
Figure 4
Mycobacterium tuberculosis PCR report (biopsy specimen from colonoscopy).
Figure 5
Figure 5
Fecal calprotectin report.
Figure 6
Figure 6
Mucosal tissue with superficial erosions of epithelium.
Figure 7
Figure 7
Fissure-like ulceration.
Figure 8
Figure 8
Dense mixed inflammatory cells in lamina propria.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Loftus EV, Jr, Silverstein MD, Sandborn WJ, Tremaine WJ, Harmsen WS, Zinsmeister AR. Ulcerative colitis in olmsted county, minnesota, 1940-1993: Incidence, prevalence, and survival. Gut. 2000;46:336–43. - PMC - PubMed
    1. Rose JD, Roberts GM, Williams G, Mayberry JF, Rhodes J. Cardiff Crohn's disease jubilee: The incidence over 50 years. Gut. 1988;29:346–51. - PMC - PubMed
    1. Saygili F, Saygili SM, Tenlik I, Yuksel M, Kilic ZMY, Ozin YO, et al. Crohn's disease in the elderly: Clinical presentation and manifestations from a tertiary referral center in Turkey. North Clin Istanb. 2017;3:183–6. - PMC - PubMed
    1. Nos P, Domènech E. Management of Crohn's disease in smokers: Is an alternative approach necessary? World J Gastroenterol. 2011;17:3567–74. - PMC - PubMed
    1. Chang CW, Wong JM, Tung CC, Shih IL, Wang HY, Wei SC. Intestinal stricture in Crohn's disease. Intest Res. 2015;13:19–26. - PMC - PubMed

Publication types