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Psychiatric Presentation of Crohn's Disease

Diagnostic Delay and Increased Morbidity

Published online by Cambridge University Press:  02 January 2018

H. Rickards*
Affiliation:
Queen Elizabeth Psychiatric Hospital, Vincent Drive, Edgbaston, Birmingham B15 2QZ
M. Prendergast
Affiliation:
Paediatrics and Child Health, The Children's Hospital, Birmingham
I. W. Booth
Affiliation:
Paediatric Gastroenterology and Nutrition, The Children's Hospital, Lady wood Middleway, Birmingham
*
Correspondence

Abstract

Four children presented to child psychiatric clinics with a variety of symptoms. They were all later recognised as having Crohn's disease. There was a significant delay between the onset of symptoms and diagnosis, compared with a control group of patients with Crohn's disease whose presentation was with predominantly gastrointestinal symptoms, which was associated with evidence of increased morbidity. Children with abdominal and psychiatric symptoms occurring in combination need serial assessments of physical status, including height and weight, and measurements of inflammatory and nutritional status.

Type
Short Papers
Copyright
Copyright © 1994 The Royal College of Psychiatrists 

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References

Booth, I. W. (1991) The nutritional consequences of gastrointestinal disease in adolescence. Acta Pediatrica Scandinavica (suppl. 373), 8290.10.1111/j.1651-2227.1991.tb18156.xGoogle Scholar
Bruce, T. (1986) Emotional sequelae of inflammatory bowel disease in children and adolescents. Clinical Gastroenterology, 15, 89104.Google Scholar
Burbridge, E. J. (1975) Clinical manifestations of Crohn's disease in children and adolescents. Pediatrics, 55, 866871.Google Scholar
Griffiths, A. M., Wesson, D. E., Shandling, B., et al (1991) Factors influencing post-operative recurrence of Crohn's disease in childhood. Gut, 32, 491495.10.1136/gut.32.5.491Google Scholar
Gryboski, J. D., Katz, J., Hoyett Sangree, M., et al (1968) Eleven adolescent girls with severe anorexia: intestinal disease or anorexia nervosa? Clinical Pediatrics, 7, 684690.10.1177/000992286800701111Google Scholar
Hamill, P. V. V., Dridz, T. A., Johnson, C. L. J., et al (1979) Physical growth. National Center for Health Statistics Percentiles. American Journal of Clinical Nutrition, 32, 608629.10.1093/ajcn/32.3.607Google Scholar
Helzer, J. E., Chammas, S., Norland, C. C., et al (1983) A study of the association between Crohn's disease and psychiatric illness. Gastroenterology, 86, 324330.Google Scholar
Jenkins, A. P., Treasure, J. S. & Thompson, R. P. H. (1988) Crohn's disease presenting as anorexia nervosa. British Medical Journal, 269, 699700.10.1136/bmj.296.6623.699Google Scholar
Lancet (1975) Mimicry in Crohn's disease (editorial). Lancet, ii, 115116.Google Scholar
Palla, B. & Litt, I. F. (1987) Medical complications of eating disorders in adolescents. Pediatrics, 81, 613623.CrossRefGoogle Scholar
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