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Presenting symptoms and diagnostic lag in children with inflammatory bowel disease

✍ Scribed by Janice B. Heikenen; Dr. Steven L. Werlin; Christopher W. Brown; Jane P. Balint


Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
263 KB
Volume
5
Category
Article
ISSN
1078-0998

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✦ Synopsis


Presenting symptoms and their duration may affect the time that elapses prior to definitive diagnosis of intlammatory bowel disease (IBD). This study was undertaken to determine the mean duration of presenting symptoms and diagnostic lag in children with IBD. The medical records of all patients less than 19 years of age diagnosed with IBD at the pediatric gastroenterology clinic of Children's Hospital of Wisconsin between 1990-1995 were reviewed. The age at diagnosis, gender, presenting symptoms and duration, disease location, and diagnostic lag were analyzed. There were 91 children (49 male) diagnosed with IBD. Crohn's disease (CD) was diagnosed in 58, ulcerative colitis (UC) in 24, and indeterminate colitis in 9. The mean agcs at diagnosis were 1 1.4 years for CD, 9.7 years for UC, and 7.8 years for indeterminate colitis. The most fre-


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