Clinical and Epidemiological Aspects of Crohn's Disease in Children and Adolescents

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Abstract
Between 1971 and 1980 34 children (18 boys and 16 girls) were diagnosed as having Crohn's disease in Örebro county, Sweden, corresponding to a yearly incidence of 6.1 and a prevalence of 41 per 100,000 children. Classical gastrointestinal symptoms were common, but initially only five patients presented with extraintestinal symptoms and had a normal ESR. Of the patients 13 have only been treated medically and 21 have been operated on. Nine of the children have had a quiescent course, whereas 13 had a recurrent and 11 a chronic course. Most of the children have a good quality of life, which we think is the result of a carefully individualized therapy. One child died.

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