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Table 1 Distinguishing features between intestinal tuberculosis and Crohn’s disease [3–5]

From: Intestinal tuberculosis previously mistreated as Crohn’s disease and complicated with perforation: a case report and literature review

 

Intestinal tuberculosis

Crohn’s disease

Clinical presentations

 Age

Any age

20–50

 Obstructive symptoms

++

+

 Stricture pattern

Short, single

Long, multiple (skip lesions)

 Mucosal ulceration

Circumferential

Longitudinal

 Fistula

Few

35–50%

 Perianal disease

Few

>1/3

 Ascites

+

Rare

Histological features

 Caseous necrosis

22–40%

0%

 Granulomatous inflammation

78–100%

28–61%

 Confluent granuloma

42–60%

0–3%

5 granulomas/biopsy

40–45%

0–24%

 Large granulomasa

51–90%

0–5%

 Submucosal granulomas

39–45%

5–12%

 Ulcers lined by bands of epithelioid histiocytes

45–61%

0–8%

 Disproportionate submucosal inflammation

65–67%

5–10%

  1. aLarge granuloma: [3]: area > 0.05 mm2; [4]: diameter > 400 μm; [5]: diameter > 200 μm.