clinendoКлиническая эндоскопияFilin’s Clinical endoscopy2415-7813"Global Media technology" Ltdclinendo-505Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESДифференциальная диагностика болезни Крона и туберкулеза кишечникаВладимироваА. А.avlad-dc@rambler.ruНеустроевВ. Г.neustroev@dc.baikal.ruЧашковаЕ. Ю.eyuch@rambler.ruРаевскаяЯ. Ю.raevskaya@dc.baikal.ruСуздальницкийА. Е.irksae@mail.ruИркутский областной клинический консультативно-диагностический центрRussian FederationНЦРВХ СО РАМНRussian FederationИркутский областной противотуберкулезный диспансерRussian Federation2012091220252210Copyright © Владимирова А.А., Неустроев В.Г., Чашкова Е.Ю., Раевская Я.Ю., Суздальницкий А.Е., 20252025Владимирова А.А., Неустроев В.Г., Чашкова Е.Ю., Раевская Я.Ю., Суздальницкий А.Е.Владимирова А.А., Неустроев В.Г., Чашкова Е.Ю., Раевская Я.Ю., Суздальницкий А.Е.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://clinendo.elpub.ru/jour/article/view/505

Частота диагностических ошибок в дифференциальном диагнозе болезни Крона и туберкулеза кишечника достигает 40-45%, что обусловлено как объективными трудностями постановки диагноза, так и относительной редкостью патологии. Однако точный диагноз в этой ситуации чрезвычайно важен из-за разности терапевтических подходов: при пробной терапии туберкулеза в случае пропущенной болезни Крона упускается время лечения, лечение же болезни Крона может стать фатальным в случае пропущенного туберкулеза кишечника.

ReferencesYang SK Current status and clinical characteristics of inflammatory bowel disease in Korea // Korean J Gastroenterol 2002;40:1-14Yang SK Current status and clinical characteristics of inflammatory bowel disease in Korea // Korean J Gastroenterol 2002;40:1-14Reviewarticle: the diagnosisand management of Crohn’s disease in populations with high-risk rates for tuberculosis / D. Epstein, G. Watermeyer and R. Kirsch // Alimentary Pharmacology and Therapeutics. - 2007. - 25: 1373-1388.Reviewarticle: the diagnosisand management of Crohn’s disease in populations with high-risk rates for tuberculosis / D. Epstein, G. Watermeyer and R. Kirsch // Alimentary Pharmacology and Therapeutics. - 2007. - 25: 1373-1388.Crohn disease or intestinal fistulising tuberculosis? Diagnosis difficulties in a case treated with Infliximab and corticosteroids / S. Cazacu [et all.] // Romanian Journal of Morphology and Embryology. - 2009, 50(2):263-268.Crohn disease or intestinal fistulising tuberculosis? Diagnosis difficulties in a case treated with Infliximab and corticosteroids / S. Cazacu [et all.] // Romanian Journal of Morphology and Embryology. - 2009, 50(2):263-268.Predictors of Clinical and Endoscopic Findings in Differentiation Crohn's Disease from Intestinal Tuberculosis/ X.Li [et all]// Dig Dis Sci. - 2011 (56): 188-196.Predictors of Clinical and Endoscopic Findings in Differentiation Crohn's Disease from Intestinal Tuberculosis/ X.Li [et all]// Dig Dis Sci. - 2011 (56): 188-196.Role of Biological Therapy for Inflammatory Bowel Disease in Developing Countries / G. Rogler [et all.] // Gut. - 2012; 61 (5):706-712.Role of Biological Therapy for Inflammatory Bowel Disease in Developing Countries / G. Rogler [et all.] // Gut. - 2012; 61 (5):706-712.Increasing Incidences of Inflammatory Bowel Disease and Decreasing Surgery Rates in Copenhagen City and County, 2003-2005: A Population-Based Study from the Danish Crohn Colitis Database / I. Vind [et al]./ The American Journal of Gastroenterology. - 2006. - Vol.101, №6. - P.1274-1282;Increasing Incidences of Inflammatory Bowel Disease and Decreasing Surgery Rates in Copenhagen City and County, 2003-2005: A Population-Based Study from the Danish Crohn Colitis Database / I. Vind [et al]./ The American Journal of Gastroenterology. - 2006. - Vol.101, №6. - P.1274-1282;Epidemiologyof inflammatory bowel disease in Russia/Belousova E.A. on behalf of Russian IBD study group.// In: Inflammatory Bowel Diseases-Diagnostic and Therapeutic Strategies. Falk Symposium 154 in Moscow, Russia, June 9-10, 2006. R64-81Epidemiologyof inflammatory bowel disease in Russia/Belousova E.A. on behalf of Russian IBD study group.// In: Inflammatory Bowel Diseases-Diagnostic and Therapeutic Strategies. Falk Symposium 154 in Moscow, Russia, June 9-10, 2006. R64-81Inteastinal Tuberculosis: Diagnostic dilemma /K.Niaz, M.Ashraf //Professional Med.J. - 2010. - 17 (4): 532-537.Inteastinal Tuberculosis: Diagnostic dilemma /K.Niaz, M.Ashraf //Professional Med.J. - 2010. - 17 (4): 532-537.Predictors of Clinical and Endoscopic Findings in Differentiation Crohn's Disease from Intestinal Tuberculosis/ X.Li [et all]// Dig Dis Sci.-2011 (56): 188-196.Predictors of Clinical and Endoscopic Findings in Differentiation Crohn's Disease from Intestinal Tuberculosis/ X.Li [et all]// Dig Dis Sci.-2011 (56): 188-196.Analysis of Colonoscopic Findings for Differentiation of Intestinal ТВ and Crohn’s Disease. / Y.J.Lee [et all.] // Endoscopy. - 2006. -Vol. 38, №6. - P. 592-597Analysis of Colonoscopic Findings for Differentiation of Intestinal ТВ and Crohn’s Disease. / Y.J.Lee [et all.] // Endoscopy. - 2006. -Vol. 38, №6. - P. 592-597Intestinal Tuberculosis Limited To The Appendix / W. Pagel & E. Weichherz // The Brithish Medical Journal. - 1936, 26 dec: 1305-1306.Intestinal Tuberculosis Limited To The Appendix / W. Pagel & E. Weichherz // The Brithish Medical Journal. - 1936, 26 dec: 1305-1306.Capsule Endoscopy Appearances of Small-Bowel Tuberculosis / D. Nageshwar Reddy [et all.] // Endoscopy. - 2003; 35: 99.Capsule Endoscopy Appearances of Small-Bowel Tuberculosis / D. Nageshwar Reddy [et all.] // Endoscopy. - 2003; 35: 99.Rectal tuberculosis: the great mimic / L.Kamani [et all.] // Endoscopy. - 2007; 39: F227-228.; @@ Crohn disease or intestinal fistulising tuberculosis? Diagnosis difficulties in a case treated with Infliximab and corticosteroids / S. Cazacu [et all.] // Romanian Journal of Morphology and Embryology. - 2009, 50(2):263-268Rectal tuberculosis: the great mimic / L.Kamani [et all.] // Endoscopy. - 2007; 39: F227-228.; @@ Crohn disease or intestinal fistulising tuberculosis? Diagnosis difficulties in a case treated with Infliximab and corticosteroids / S. Cazacu [et all.] // Romanian Journal of Morphology and Embryology. - 2009, 50(2):263-268The Fibercolonoscopic Diagnosis of Intestinal Tuberculosis. / G.Aoki [et all.] // Endoscopy. - 1975. -№7. - P. 113-121.The Fibercolonoscopic Diagnosis of Intestinal Tuberculosis. / G.Aoki [et all.] // Endoscopy. - 1975. -№7. - P. 113-121.Abdominal tuberculosis / M.P. Sharma and Vikram Bhatia // Indian J Med Res 120, October 2004, pp 305-315.Abdominal tuberculosis / M.P. Sharma and Vikram Bhatia // Indian J Med Res 120, October 2004, pp 305-315.Role of colonoscopic biopsy in distinguishing between Crohn’s disease and intestinal tuberculosis / R.Kirsch [et all.] // J.CIin. Pathol. - 2006. - 59(8):840-844.Role of colonoscopic biopsy in distinguishing between Crohn’s disease and intestinal tuberculosis / R.Kirsch [et all.] // J.CIin. Pathol. - 2006. - 59(8):840-844.Ileo-Colonic Tuberculosis: A Diagnostic Challenge / D.Epstein // Falk Fondation, Istambul, 2007Ileo-Colonic Tuberculosis: A Diagnostic Challenge / D.Epstein // Falk Fondation, Istambul, 2007

The authors declare that there are no conflicts of interest present.