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20110930

Differences - Ulcerative colitis & Crohn's Disease


                                                                                          ULCERATIVE                   CROHN'S
                                                                                              COLITIS                          DISEASE

Clinical
                                                                                   
Gross blood in stoolYesOccasionally
MucusYesOccasionally
Systemic symptomsOccasionallyFrequently
PainOccasionallyFrequently
Abdominal massRarelyYes
Significant perineal diseaseNoFrequently
FistulasNoYes
Small intestinal obstructionNoFrequently
Colonic obstructionRarelyFrequently
Response to antibioticsNoYes
Recurrence after surgeryNoYes
ANCA-positiveFrequentlyRarely
ASCA-positiveRarelyFrequently
Endoscopic 
Rectal sparingRarelyFrequently
Continuous diseaseYesOccasionally
"Cobblestoning"NoYes
Granuloma on biopsyNoOccasionally
Radiographic 
Small bowel significantly abnormalNoYes
Abnormal terminal ileumNoYes
Segmental colitisNoYes
Asymmetric colitisNoYes
StrictureOccasionallyFrequently

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