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From the question on page 10.1136/gut.2006.117200

Features compatible with Crohn’s disease were seen at colonoscopy, with “cobblestoning”, aphthous ulceration and non-caseating granulomas in the terminal ileum and ascending colon (fig 1). Behçet’s disease was excluded given the absence of pathergy and genital ulceration in this case.

Figure 1 Ascending colonic biopsy showing active Crohn’s colitis with crypt abscesses, mucosal erosion, and non-necrotising granulomatous inflammation with a Langhans-type giant cell (arrow).

The clinical presentation and features on skin biopsy suggest a diagnosis of Crohn’s disease-related, bowel-associated …

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