Inflammatory Bowel Disease · Pathology

Fissures in the bowel wall are most likely to lead to which clinical finding in Crohn disease?

  1. Massive hematochezia
  2. Iron deficiency anemia
  3. Perianal skin tags and abscesses
  4. Hypoproteinemia
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Correct answer: Perianal skin tags and abscesses

Fissures are deep, narrow ulcers that can track through the wall. In the anorectal region, these lead to skin tags, abscesses, and complex perianal fistulas, which are common and debilitating in Crohn patients.

Difficulty: Medium Question 18 of 20

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