UC or Chrons?
I have been diagnosed with left sided ulcerative colitis. However I have skip areas on left side. I am newly diagnosed and was not treated before. Another doctor mentioned that skip areas are Hallmark of Chrons. Did anyone have similar diagnosis? Did it evolve in Chrons later?
Colonoscopy Diagnosis: Normal mucosa from terminal ileum to transverse colon. Distally, from splenic flexure, mucosa showed complete loss of vasculature, friability, granularity and superficial ulcerations, with normal appearing mucosa in between. Colonic inflammation, likely inflammatory bowel disease with skip areas.
Biopsy report
1] Normal colon biopsy : Biopsy show intact colonic mucosa with maintained crypt architecture. Lamina propria is edematous with sparse infiltration of lymphocytes and plasma cells and histiocytes. No cryptitis. No crypt abscess. No evidence of granulomas or malignancy.
2] Abnormal mucosa biopsy : Biopsy show colonic mucosa with surface ulceration. Lamina propria reveals moderate inflammatory infiltrate of lymphocytes, plasma cells, eosinophils and neutrophils. Crypt architecture is distorted. Cryptitis and crypt abscess is noted. No evidence of granulomas or malignancy.
MRE report:
Hyperenhancing mucosa involving the splenic flexure, descending colon and sigmoid colon with paucity of haustra in the descending colon. Features could be suggestive of inflammatory bowel disease.