Which of the following feature distinguishes Crohn's disease from Ulcerative colitis ?
- Crohn's disease is associated with transmural inflammation whereas only superficial layers are involved in ulcerative colitis. Feature Crohn Disease Ulcerative Colitis Macroscopic Bowel region involved Any site of GIT Colon only Distribution Skip lesions Diffuse Stricture Yes Rare Wall appearance Thick Thin Microscopic Inflammation Transmural Limited to mucosa, submucosa Pseudopolyps may/ may not be present Markedly present Ulcers Deep, knife-like Superficial, broad-based Lymphoid reaction Marked Moderate Fibrosis Marked Mild to none Serositis Marked Mild to none Granulomas Yes ( 35%) No Fistulae/sinuses Yes No Clinical Perianal fistula Yes (in colonic disease) No Fat/vitamin malabsorption Yes No Malignant potential With colonic involvment yes Yes Recurrence after surgery Common No Toxic megacolon No Yes All feature may not be present in a single case. TRUE LOVE CLASSIFICATION OF UC.
Transmural involvement
Presence of polyps
Mucosal edema
Lymphocyte infiltrate
NEET 2019