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Inflammatory bowel disease in children and adolescents
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- Diagnostic delay is common in pediatric inflammatory bowel disease
- Extraintestinal manifestations of pediatric inflammatory bowel disease can occur before diagnosis
- The presence of perianal disease can be a highly specific finding when Crohn disease is suspected
- Once infection has been excluded, investigation of nonbloody diarrhea lasting longer than 2 weeks should be started in primary care4
- Fecal calprotectin testing can aid in the diagnosis, as high levels indicate intestinal mucosa inflammation
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