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Psychiatric Presentation of Crohn's Disease

Diagnostic Delay and Increased Morbidity

Published online by Cambridge University Press:  02 January 2018

H. Rickards ,
M. Prendergast  and
I. W. Booth
H. Rickards*
Affiliation:
Queen Elizabeth Psychiatric Hospital, Vincent Drive, Edgbaston, Birmingham B15 2QZ
M. Prendergast
Affiliation:
Paediatrics and Child Health, The Children's Hospital, Birmingham
I. W. Booth
Affiliation:
Paediatric Gastroenterology and Nutrition, The Children's Hospital, Lady wood Middleway, Birmingham
*
∗Correspondence
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Abstract

Four children presented to child psychiatric clinics with a variety of symptoms. They were all later recognised as having Crohn's disease. There was a significant delay between the onset of symptoms and diagnosis, compared with a control group of patients with Crohn's disease whose presentation was with predominantly gastrointestinal symptoms, which was associated with evidence of increased morbidity. Children with abdominal and psychiatric symptoms occurring in combination need serial assessments of physical status, including height and weight, and measurements of inflammatory and nutritional status.

Type
Short Papers
Information
The British Journal of Psychiatry , Volume 164 , Issue 2 , February 1994 , pp. 256 - 261
Copyright
Copyright © 1994 The Royal College of Psychiatrists 

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