Inflammatory Bowel Disease · Pathology

Which of the following macroscopic features is most characteristic of Crohn disease compared to Ulcerative Colitis?

  1. Continuous mucosal involvement starting from the rectum
  2. Presence of 'skip lesions' with areas of normal-appearing mucosa
  3. Confined strictly to the mucosa and submucosa
  4. Lead-pipe appearance of the colon due to loss of haustra
Show answer and explanation

Correct answer: Presence of 'skip lesions' with areas of normal-appearing mucosa

Crohn disease is characterized by skip lesions, which are sharply demarcated areas of involvement separated by normal segments of bowel. In contrast, Ulcerative Colitis involves a continuous, diffuse inflammatory process.

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