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Correct answer: E. Cervical dysplasia.
Rationale
In a nationwide cohort study, women with Crohn's disease and ulcerative colitis were found to have an increased risk of cervical dysplasia. Patients with ulcerative colitis had increased risks of low- and high-grade squamous intraepithelial lesions, whereas patients with Crohn's disease also had increased risks of cervical cancer. Age-appropriate screening with pap smears is important for women diagnosed with inflammatory bowel disease regardless of treatment type.
Reference
Rungoe et al. Clin Gastroenterol Hepatol. 2015 Apr;13(4):693-700.e1.
Correct answer: E. Cervical dysplasia.
Rationale
In a nationwide cohort study, women with Crohn's disease and ulcerative colitis were found to have an increased risk of cervical dysplasia. Patients with ulcerative colitis had increased risks of low- and high-grade squamous intraepithelial lesions, whereas patients with Crohn's disease also had increased risks of cervical cancer. Age-appropriate screening with pap smears is important for women diagnosed with inflammatory bowel disease regardless of treatment type.
Reference
Rungoe et al. Clin Gastroenterol Hepatol. 2015 Apr;13(4):693-700.e1.
Correct answer: E. Cervical dysplasia.
Rationale
In a nationwide cohort study, women with Crohn's disease and ulcerative colitis were found to have an increased risk of cervical dysplasia. Patients with ulcerative colitis had increased risks of low- and high-grade squamous intraepithelial lesions, whereas patients with Crohn's disease also had increased risks of cervical cancer. Age-appropriate screening with pap smears is important for women diagnosed with inflammatory bowel disease regardless of treatment type.
Reference
Rungoe et al. Clin Gastroenterol Hepatol. 2015 Apr;13(4):693-700.e1.
Q1. A 25-year-old woman with colonic Crohn's disease presents for routine follow-up. She is in remission on her regimen of vedolizumab. When discussing her medication regimen, she asks about the long-term risks associated with her Crohn's disease and treatment.