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Gut 50:iii37-iii42 doi:10.1136/gut.50.suppl_3.iii37
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Influence of treatment on morphological features of mucosal inflammation

Table 5

Scoring system for Crohn's disease68

Histological variable Grading
Each variable is scored independently. The total score is the sum of all individual scores (max = 16).
1: epithelial damage 0 = normal; 1 = focal; 2 = extensive
2: architectural changes 0 = normal; 1 = moderate (>50%); 2 = severe (>50%)
3: mononuclear cells in lamina propria 0 = normal; 1 = moderate increase; 2 = severe increase
4: polymorphonuclear cells in lamina propria 0 = normal; 1 = moderate increase; 2 = severe increase
5: neutrophils in epithelium 1 = surface epithelium; 2 = cryptitis; 3 = crypt abscess
6: erosion or ulceration 0 = no; 1 = yes
7: granuloma 0 = no; 1 = yes
8: number of biopsies affected (total: n=6 or more) 0 = none; 1 = >33%; 2 = 33–66%; 3 = >66%

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