Crohn’s vs. Tuberculosis

Here’s a list of clinical, imaging and endoscopic differences in Crohn’s disease vs tuberculosis:

Crohns Tuberculosis
Clinical history Sub(fever), weight loss Evening fever, night sweats
Ascites Rare, transudate Possible, exudate
Extraintestinal features Cutaneous, articular, perianal disease, primary sclerosing cholangitis Lung, lumph node
Imaging Concentric wall thickening, target sign present Asymmetric wall thickening

 

Colonoscopy Aphtous lesions

Deep longitudinal, serpiginous ulcers

Cobblestone appearance

Luminal narrowing

Fistulas

Supeficial, transverse or circumferential ulcers

Patulous, deformed IC valve

Nodular mucosa

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