Analysis of the Causes of Misdiagnosis of Other Diseases with the Main Manifestation of Gastrointestinal Symptoms as Inflammatory Bowel Disease in Children
Analysis of the Causes of Misdiagnosis of Other Diseases with the Main Manifestation of Gastrointestinal Symptoms as Inflammatory Bowel Disease in Children
Objective To investigate the causes of misdiagnosis of other diseases mainly characterized by gastrointes-tinal symptoms as inflammatory bowel disease(IBD)in children,and to summarize preventive measures.Methods The clinical data of three children misdiagnosed as IBD from April 2021 to April 2023 were retrospectively analyzed.Results Di-arrhea and hematochezia were the main manifestations in 2 patients,and abdominal pain was the main manifestation in 1 pa-tient.All children were diagnosed as pediactric IBD at initial diagnosis,and the duration of misdiagnosis was 2 to 8 months.According to detailed medical history,rigorous physical examination and relevant medical examination after admission to our hospital,3 patients were diagnosed as chronic granulomatosis,amebic enteritis and lymphoma,respectively.The child with chronic granulomatosis died after giving up treatment,the child with amebic enteritis were cured by metronidazole treatment,and the child with lymphoma survived well after regular chemotherapy.Conclusion In order to avoid misdiagnosis of other diseases mainly characterized by gastrointestinal symptoms as pediatric IBD,clinicians should be proficient in the diagnosis and differential diagnosis of pediatric IBD,inquire about the history in detail,improve relevant examinations as soon as possi-ble,and improve the diagnostic accuracy,to avoid misdiagnosis.
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