A 24-year-old woman presents with a 3-month history of chronic diarrhea, crampy abdominal pain, and 6-kg weight loss. Vital signs show BP 118/76, HR 92, RR 16, temperature 37.2°C, and SpO2 98% on room air. Colonoscopy reveals patchy skip lesions with deep linear ulcers. Biopsy demonstrates transmural inflammation and noncaseating granulomas. Laboratory studies show hemoglobin 11.2 g/dL and albumin 3.1 g/dL. Perianal fistulas are absent. Which of the following is the most likely diagnosis?

  1. A)Celiac disease
  2. B)Crohn diseaseGABARITO
  3. C)Irritable bowel syndrome
  4. D)Ulcerative colitis
  5. E)Diverticulitis

Explicação

Crohn disease is characterized by transmural inflammation, skip lesions, fissuring ulcers, and noncaseating granulomas. Ver explicação completa e trilha adaptativa →

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