Inflammatory bowel disease in pediatric and adolescent patients: a biomolecular and histopathological review

World J Gastroenterol. 2014 Aug 14;20(30):10262-78. doi: 10.3748/wjg.v20.i30.10262.

Abstract

Crohn's disease (CD) and ulcerative colitis (UC) are the two main forms of inflammatory bowel disease (IBD) with both overlapping and distinct clinical, pathological and biomolecular features. It has been suggested that pediatric IBD is a distinct disease entity, with probably different disease subtypes.The aim of this study is to review and summarize the evolution of the current concept of pediatric IBD. The results of this review reinforce the idea that pediatric CD and UC may be further classified in various clinicopathologic entities. For clinicians and pathologists convenience, practical algorithms for the distinction of the various subphenotypes of pediatric IBD are also provided.

Keywords: Crohn’s disease; Histopathology; Molecular biology; Pediatric inflammatory bowel disease; Ulcerative disease.

MeSH terms

  • Adolescent
  • Age of Onset
  • Algorithms
  • Child
  • Colitis, Ulcerative / classification
  • Colitis, Ulcerative / diagnosis*
  • Colitis, Ulcerative / genetics
  • Colitis, Ulcerative / pathology
  • Colitis, Ulcerative / therapy
  • Crohn Disease / classification
  • Crohn Disease / diagnosis*
  • Crohn Disease / genetics
  • Crohn Disease / pathology
  • Crohn Disease / therapy
  • DNA Mutational Analysis
  • Diagnosis, Differential
  • Genetic Markers
  • Genetic Predisposition to Disease
  • Genetic Testing / methods
  • Humans
  • Intestines / pathology*
  • Mutation*
  • Phenotype
  • Predictive Value of Tests
  • Prognosis

Substances

  • Genetic Markers

Supplementary concepts

  • Pediatric Crohn's disease
  • Pediatric ulcerative colitis