Abstract
Crohn's disease is less prevalent in blacks than in whites. However, when it does occur, it is associated with a high degree of morbidity and is frequently unrecognized at initial presentation. Forty-three patients with Crohn's disease presented to Howard University Hospital between 1965 and 1987. There were 156 hospital admissions, 47 emergency room visits, and 76 clinic visits over this 22-year period. Twenty-eight patients were female and 15 were male. The age of presentation for males ranged from 18 to 63 years and for females, 12 to 74 years. Crohn's disease should be considered in black patients who present with chronic abdominal pain and diarrhea. With correct diagnosis and appropriate medical therapy, patients should have an enhanced quality of life with less morbidity.
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- Ambrose N. S., Keighley M. R., Alexander-Williams J., Allan R. N. Clinical impact of colectomy and ileorectal anastomosis in the management of Crohn's disease. Gut. 1984 Mar;25(3):223–227. doi: 10.1136/gut.25.3.223. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dinkel E., Dittrich M., Peters H., Baumann W. Real-time ultrasound in Crohn's disease: characteristic features and clinical implications. Pediatr Radiol. 1986;16(1):8–12. doi: 10.1007/BF02387496. [DOI] [PubMed] [Google Scholar]
- Gellert A., Green E. S., Beck E. R., Ridley C. M. Erythema nodosum progressing to pyoderma gangrenosum as a complication of Crohn's disease. Postgrad Med J. 1983 Dec;59(698):791–793. doi: 10.1136/pgmj.59.698.791. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Goldman C. D., Kodner I. J., Fry R. D., MacDermott R. P. Clinical and operative experience with non-Caucasian patients with Crohn's disease. Dis Colon Rectum. 1986 May;29(5):317–321. doi: 10.1007/BF02554120. [DOI] [PubMed] [Google Scholar]
- Greenstein A. J., Sachar D. B., Tzakis A., Sher L., Heimann T., Aufses A. H., Jr Course of enterovesical fistulas in Crohn's disease. Am J Surg. 1984 Jun;147(6):788–792. doi: 10.1016/0002-9610(84)90202-2. [DOI] [PubMed] [Google Scholar]
- Markowitz J., Daum F., Aiges H., Kahn E., Silverberg M., Fisher S. E. Perianal disease in children and adolescents with Crohn's disease. Gastroenterology. 1984 May;86(5 Pt 1):829–833. [PubMed] [Google Scholar]
- Mayberry J. F., Rhodes J. Epidemiological aspects of Crohn's disease: a review of the literature. Gut. 1984 Aug;25(8):886–899. doi: 10.1136/gut.25.8.886. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mayberry J. F., Rhodes J. Epidemiological aspects of Crohn's disease: a review of the literature. Gut. 1984 Aug;25(8):886–899. doi: 10.1136/gut.25.8.886. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Puntis J., McNeish A. S., Allan R. N. Long term prognosis of Crohn's disease with onset in childhood and adolescence. Gut. 1984 Apr;25(4):329–336. doi: 10.1136/gut.25.4.329. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Slater G., Greenstein A., Aufses A. H., Jr Anal carcinoma in patients with Crohn's disease. Ann Surg. 1984 Mar;199(3):348–350. doi: 10.1097/00000658-198403000-00016. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Walker A. R. Diet and bowel diseases--past history and future prospects. S Afr Med J. 1985 Aug 3;68(3):148–152. [PubMed] [Google Scholar]