Aphthoid ulcers are characteristic of which chronic inflammatory bowel disease?
- Aphthoid ulcers are almost pathognomonic for Crohn’s disease.
What are the other conditions where Aphthoid ulcers are characteristic?
They are also seen in patients with acute diarrheal states, such as
- yersiniosis,
- amebiasis, and
- viral (cytomegalovirus/herpes virus) infection.
- An aphthoid ulcer results from breakdown of the mucosa above an inflamed lymph aggregate in the lamina propria or submucosa.
What are the X ray findings?
Other characteristic radiographic findings in Crohn’s disease include mesenteric border ulcers and crisscrossing knifelike clefts resulting in cobblestoning.
Strictures, fissures, and fistulas are seen with transmural disease.
Pathologically, granulomas are detected in 25% to 70% of patients.
The characteristic radiographic findings in ulcerative colitis are granular mucosa, ulcers on a background of inflammatory granularity, shortening of the colon, and loss of haustration.
