title: Pulmonary and hepatic nodular lesions precede the diagnosis of Crohn's disease in an 8-year-old girl: a case study and review of the literature.
abstract: OBJECTIVE
  To describe a novel clinical observation and to provide a review the literature about lung involvement in children with Crohn disease (CD).
  
  
  METHODS
  An 8-year-old girl presented with pulmonary and hepatic granulomatous lesions, followed 6 months later by abdominal and general symptoms, resulting in the diagnosis of CD. Differential diagnosis between CD and sarcoidosis and a review of the literature about lung lesions in children with CD are discussed.
  
  
  RESULTS
  Crohn disease can be associated with pulmonary lesions, developing before, at the same time or after occurrence of digestive symptoms.
  
  
  CONCLUSIONS
  This report highlights not only the importance of looking for lung lesions in CD but also underscores the necessity of considering the diagnosis of CD in incomplete presentation evoking sarcoidosis.
authors: Centre Hospitalier Intercommunal de Créteil, Service de Pédiatrie, France.
authors: Eloïse
authors: E
authors: Pain-Prado
authors: Azza
authors: A
authors: Rais
authors: Fouad
authors: F
authors: Madhi
authors: Christine
authors: C
authors: Orzechowski
authors: Beatrice
authors: B
authors: Dubern
authors: Ralph
authors: R
authors: Epaud
mesh_terms: D002648:Child; D003424:Crohn Disease / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis*; D055613:Multiple Pulmonary Nodules / Q000175:diagnosis*; D012507:Sarcoidosis / Q000175:diagnosis