Karolina Aleksandra Jamrozik, Martina Begucci, Vanessa Nadia Dargenio, Nathali Bergmann, Lea Charlotte Hellberg, Hannah Franziska Schumacher, Fernanda Cristofori, Ruggiero Francavilla
{"title":"Not all weight loss is psychiatric: Diagnostic bias in pediatric Crohn's disease.","authors":"Karolina Aleksandra Jamrozik, Martina Begucci, Vanessa Nadia Dargenio, Nathali Bergmann, Lea Charlotte Hellberg, Hannah Franziska Schumacher, Fernanda Cristofori, Ruggiero Francavilla","doi":"10.1002/jpr3.70187","DOIUrl":null,"url":null,"abstract":"<p><p>Crohn's disease (CD) is a chronic inflammatory bowel disease (IBD) that can often be misdiagnosed, particularly in the female population. This is especially true in the initial stages, which are frequently characterized by weight loss and, at times, dietary intake restriction. We present the case of a patient who experienced a misdiagnosis of anorexia nervosa (AN), leading to significant diagnostic delay (DD) of approximately 8 months and failure to initiate timely treatment. Greater awareness among clinicians and the early utilization of non-invasive markers, such as fecal calprotectin, could significantly aid in achieving an accurate diagnosis right from the disease's onset.</p>","PeriodicalId":501015,"journal":{"name":"JPGN reports","volume":" ","pages":"439-441"},"PeriodicalIF":0.0000,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398777/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"JPGN reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/jpr3.70187","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/8/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Crohn's disease (CD) is a chronic inflammatory bowel disease (IBD) that can often be misdiagnosed, particularly in the female population. This is especially true in the initial stages, which are frequently characterized by weight loss and, at times, dietary intake restriction. We present the case of a patient who experienced a misdiagnosis of anorexia nervosa (AN), leading to significant diagnostic delay (DD) of approximately 8 months and failure to initiate timely treatment. Greater awareness among clinicians and the early utilization of non-invasive markers, such as fecal calprotectin, could significantly aid in achieving an accurate diagnosis right from the disease's onset.
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