What is the focus of medical history in adults and children with suspected Crohn disease?

Updated: Jul 26, 2019
  • Author: Leyla J Ghazi, MD; Chief Editor: Praveen K Roy, MD, AGAF  more...
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Answer

Patients with suspected Crohn disease should be evaluated initially by their primary care team, and symptoms should be elicited in detail. Obtain a complete medical, surgical, social, and family history, and perform a detailed review of systems. Preliminary laboratory data (eg, inflammatory and anemia markers) may be helpful. If Crohn disease is suspected, the patient should be promptly referred to a gastroenterologist for consultation.

In children, document growth parameters; growth failure may precede gastrointestinal (GI) symptoms by years. The etiology of growth failure is multifactorial, with nutritional, hormonal, and disease-related factors all contributing. Any child or adolescent with persistent alterations in growth or delayed puberty should undergo appropriate diagnostic evaluation for Crohn disease.


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