CARD15 Gene and Crohn's Disease Relationship

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What is the most commonly applied definition of disease recurrence in the context of recurrent CD activity?

The development of symptoms related to recurrent CD activity

What is generally accepted as defining clinical recurrence in the context of recurrent CD activity?

CDAI greater than 150

What is the clearest end point as a definition of recurrence in the context of recurrent CD activity?

The need for reoperation

What percentage of patients experience symptomatic recurrence at 5 years in the context of recurrent CD activity?

<p>60%</p> Signup and view all the answers

At what time frame can clinical recurrence occur in between 75% and 95% of cases in the context of recurrent CD activity?

<p>20 years</p> Signup and view all the answers

What is the predominant characteristic of the stricturing pattern of Crohn's disease?

<p>Partial or complete intestinal obstruction</p> Signup and view all the answers

Which type of pattern is characterized by the development of sinus tracts, fistulae, and abscesses?

<p>Perforating pattern</p> Signup and view all the answers

What is the most likely outcome for strictures resulting from the stricturing pattern of Crohn's disease?

<p>Surgical intervention required</p> Signup and view all the answers

What is a notable characteristic of the perforating pattern of Crohn's disease?

<p>Development of sinus tracts and fistulae</p> Signup and view all the answers

What tends to be the determining factor for clinical presentation and therapeutic options in Crohn's disease?

<p>Predominant disease pattern</p> Signup and view all the answers

What is the characteristic feature of the remission phase of Crohn's disease?

<p>Healing of the inflamed tissue</p> Signup and view all the answers

Which histopathologic feature is typically seen in the active phase of Crohn's disease?

<p>Transmural inflammation</p> Signup and view all the answers

What is a characteristic microscopic feature of Crohn's disease that is demonstrated in only 50% of resected specimens?

<p>Noncaseating granuloma</p> Signup and view all the answers

Which factor has been associated with the development and exacerbation of Crohn's disease?

<p>Smoking</p> Signup and view all the answers

Which infectious agent has NOT been consistently associated with Crohn's disease according to the text?

<p>Measles virus</p> Signup and view all the answers

What is the characteristic feature of the inflammatory pattern of Crohn's disease?

<p>Adynamic segment of intestine and luminal narrowing</p> Signup and view all the answers

Which symptom is most commonly associated with the obstructive pattern of Crohn's disease?

<p>Presence of a palpable mass in the right lower quadrant</p> Signup and view all the answers

Which imaging study is considered the best means for assessing the small bowel for Crohn's disease?

<p>Small bowel follow­through or enteroclysis</p> Signup and view all the answers

What is the primary manifestation that can be identified in the early stages of Crohn's disease?

<p>Mucosal granulations with ulceration and nodularity</p> Signup and view all the answers

Which symptom is more likely to respond to medical therapy in Crohn's disease?

<p>Mucosal granulations with ulceration and nodularity</p> Signup and view all the answers

Which of the following best describes the distribution of Crohn's disease (CD) within families?

<p>It shows no specific pattern of inheritance within families</p> Signup and view all the answers

What is the current understanding of the etiology of Crohn's disease (CD)?

<p>It is a result of an unknown pathologic trigger inducing an overreaction in an otherwise normal immune system</p> Signup and view all the answers

What has been demonstrated in both Crohn's disease (CD) patients and their symptom-free first-degree relatives?

<p>A specific primary defect in the systemic immune system</p> Signup and view all the answers

What is the role of the CARD15/NOD2 gene in relation to Crohn's disease (CD)?

<p>It has been linked to susceptibility to CD</p> Signup and view all the answers

What is the relationship between genetic predisposition and environmental triggers in the manifestation of Crohn's disease (CD)?

<p>Genetic predisposition may play a role, whereas environmental triggers may start the pathologic sequence leading to CD</p> Signup and view all the answers

What is the genetic relationship of CARD15/NOD2 to Crohn's disease (CD)?

<p>Complex and poorly understood</p> Signup and view all the answers

What characteristic histopathologic lesion is found in Crohn's disease specimens?

<p>Noncaseating granulomas</p> Signup and view all the answers

Which infectious agent has been isolated from resected Crohn's disease specimens?

<p>Mycobacterium paratuberculosis</p> Signup and view all the answers

What has been associated with the development of Crohn's disease?

<p>Smoking</p> Signup and view all the answers

What role does diet modification play in Crohn's disease development according to the text?

<p>Can ameliorate the symptoms but not identified as a cause</p> Signup and view all the answers

What is the most commonly affected location by Crohn disease?

<p>Terminal ileum</p> Signup and view all the answers

What percentage of all patients with Crohn disease have more than one intestinal segment affected simultaneously?

<p>One-fifth</p> Signup and view all the answers

Which regions have the highest incidence of Crohn disease?

<p>United States, Canada, and Europe</p> Signup and view all the answers

What is the current estimated incidence of Crohn disease in the United States?

<p>4 new cases per year for every 100,000 persons</p> Signup and view all the answers

In which age range is the peak age for contracting Crohn disease?

<p>15-25 years</p> Signup and view all the answers

Which part of the gastrointestinal system is least commonly affected by Crohn disease?

<p>Mouth</p> Signup and view all the answers

Where is Crohn disease much less common?

<p>Asia, South America, and Japan</p> Signup and view all the answers

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