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Inflammatory Bowel Disease (IBD)

Inflammatory Bowel Disease (IBD)

IBD is an inflammatory disorder in digestive tract. Two main and common types of disease are Crohn’s Disease and Ulcerative Colitis. In UC, long inflammation causes sores or ulcers in the large intestine, colon and rectum. CD is identified by inflammation in digestive tract which sometimes develops deep into intestinal tissues. Patients affected by these diseases experience abdominal symptoms, including diarrhea, abdominal pain, bloody stools, fatigue, weight loss and vomiting.

Panel tests

Autoantibodies

ANCA test: Anti-neutrophil cytoplasmic antibody (ANCA) is classified according to two staining patterns:

  • cytoplasmic ANCA (cANCA): in which the entire cytoplasm is stained
  • perinuclear ANCA (pANCA): in which the area around the nucleus is stained.
    pANCA (Perinuclear anti-neutrophil cytoplasmic antibody). More common with UC, it is found in about 60% to 80% of people with UC but only about 5% to 15% of people with CD.

Antimicrobial antibodies

Anti-Saccharomyces cerevisiae antibody (ASCA),

  • Anti-CBir1 (Clostridium species antibodies).
  • Anti-Omp C (Escherichia coli antibodies).
  • Anti-I-2 (Pseudomonas fluorescens antibodies)

Other tests

Calprotectin

Stool exam and stool culture

Lactoferrin

CBC with automated differential

CRP and ESR

Albumin

ALT and AST

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