Metastatic Crohn's Disease of the Lung

The document described a case of a 15-year-old girl with Crohn's disease (CD) presenting with pulmonary involvement, a rare extraintestinal manifestation. The patient exhibited symptoms such as dyspnea, cough, and hair loss, alongside gastrointestinal issues. Diagnostic procedures revealed granulomatous lung disease, confirmed by endoscopy and biopsy, marking the first time endobronchial changes of CD were identified this way. Treatment with prednisolone and sulphasalazine led to symptom resolution and weight gain. The study highlighted the importance of recognizing pulmonary manifestations in CD, which are often overshadowed by more common systemic symptoms, and suggested routine bronchoscopy for accurate diagnosis in suspected cases.