Frequency and significance of granulomas in a cohort of incident cases of Crohn's disease.

Background And Aims: Epithelioid granulomas is one of the best histological criterion for distinguishing Crohn's disease (CD) from other inflammatory bowel diseases. Few data are available on the time of occurrence of epithelioid granulomas, and the value of epithelioid granulomas in predicting outcome has been determined only in cohorts of prevalent CD cases. Our objective was to evaluate epithelioid granuloma occurrence in incident CD cases and to examine the associations between epithelioid granulomas and outcome.

Crohn's disease in the over-60 age group: a population based study.

Objectives: Late-onset Crohn's disease (CD) may show a distinctive pattern of expression. The aim of our study was to describe the incidence or presentation of CD in the elderly and compare the outcomes in patients < 60 years or > or = 60 years at diagnosis.

Methods: The study included a population based inception cohort of all incident CD cases diagnosed in Brittany (France) between 1994 and 1997.

[Liver mesenchymal hamartoma in adulthood. Report of a new case].

A case of hepatic mesenchymal hamartoma, found after sudden onset clinical and biological cholestasis, is reported in a 18-year-old man. Abdominal ultrasound examination and computed tomography showed a intrahepatic cystic tumor. The diagnosis of hepatic mesenchymal hamartoma was made by the pathological examination of the resected specimen.

[Do the eosinophilic granulomas observed in Brittany represent a form of anisakiasis? The larvae of Thynnascaris aduncum do not produce these granulomas experimentally].

To explain the enigmatical origin of gastric eosinophilic granulomas prevailing among patients in Brittany (France), we have tried to experiment with the larvae of Thynnascaris (Thynnascaris aduncum (Rud.)), a Nematode found in the sardine (Sardina pilchardus (Walbaum)), a fish sometimes eaten raw in our country. In a preliminary experiment, larvae of Thynnascaris were observed to penetrate the mucosa of the rabbit stomach in vitro at room temperature.