Inflammatory Bowel Disease · Pathology

The 'cobblestone' appearance of the mucosa in Crohn disease is primarily caused by which of the following?

  1. Extensive pseudopolyps and mucosal bridges
  2. Linear ulcerations alternating with areas of edematous, normal mucosa
  3. Diffuse thinning and atrophy of the mucosal lining
  4. Accumulation of large amounts of intestinal fat
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Correct answer: Linear ulcerations alternating with areas of edematous, normal mucosa

Cobblestoning results from deep, longitudinal, and transverse ulcers that intersect, leaving islands of edematous but otherwise intact mucosa. This is a classic gross finding in active Crohn disease.

Difficulty: Medium Question 4 of 20

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