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Gastrointestinal Disorders—A Photo Essay

Gastrointestinal Disorders—A Photo Essay

This colonoscopic view of the ileum shows the moderate to severe inflammation typical of Crohn disease. Many patients have involvement outside of the bowel that manifests as back pain, joint pain, mouth ulcerations, pyoderma gangrenosum in the legs, or erythema nodosum of the shins. These extraintestinal “red herrings” can obscure the diagnosis of inflammatory bowel disease in the absence of a high index of suspicion.

Image courtesy of David Schwartz, MD.

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