Inflammatory Bowel Disease, a Rare or Under Diagnosed Disease in Nigeria.
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Date
2014-12-11
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Abstract
Six Nigerians, consisting of 5 females and 1 male with confirmed inflammatory bowel
disease (IBD) were recruited from a tertiary institution and two private hospitals in Lagos
into this study from January 2001 to January 2014. Their ages at the time of first visit
ranged from 27 to 65 years. They all had repeated bouts of bloody mucoid stools and
abdominal pain plus or minus tenesmus requiring admission and fluid replacement. One
of the cases even showed a total reversal of barium enema findings after the follow up
treatment of oral sulphasalazine and prednisolone given. The four females and the male
have remained relatively symptom free up to the time of their last visit in the follow up
clinic, while one of the females was lost to follow up.
This is a prospective case series that highlights the need for a high index of suspicion to
make a diagnosis of inflammatory bowel disease in an environment where the reported
incidence is low. Its diagnosis requires a team approach between the gastroenterological
surgeon, radiologist, gastroenterologist Physician and a sub-specialized pathologist.
Description
Keywords
Inflammatory bowel disease, ulcerative colitis, crohn’s disease, underdiagnosis, Nigeria
Citation
Oludara Mobolaji1, Akinola Rachael, Popoola Abiodun, Makanjuola Samira. Inflammatory Bowel Disease, a Rare or Under Diagnosed Disease in Nigeria. British Journal of Medicine and Medical Research. 2014 Dec; 4(35): 5620-5628.