nih-gov/medlineplus.gov/genetics/condition/crohns-disease/index.html
2025-02-26 13:17:41 -05:00

844 lines
47 KiB
HTML
Raw Permalink Blame History

This file contains ambiguous Unicode characters

This file contains Unicode characters that might be confused with other characters. If you think that this is intentional, you can safely ignore this warning. Use the Escape button to reveal them.

<!DOCTYPE html>
<html lang="en" id="genetic_condition" class="nojs us" data-root="https://medlineplus.gov/">
<head>
<meta charset="utf-8" />
<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1" />
<meta http-equiv="window-target" content="_top" />
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
<meta name="viewport" content="width=device-width, initial-scale=1" />
<link rel="canonical" href="https://medlineplus.gov/genetics/condition/crohns-disease/" />
<link href="https://medlineplus.gov/genetics/condition/crohns-disease/" hreflang="x-default" rel="alternate">
<meta name="ac-dictionary" content="medlineplus-ac-dictionary" />
<meta name="description" content="Crohn&#x27;s disease is a complex, chronic disorder that primarily affects the digestive system . Explore symptoms, inheritance, genetics of this condition." />
<link rel="shortcut icon" href="https://medlineplus.gov/images/favicon.ico" type="image/x-icon" />
<link rel="apple-touch-icon" href="https://medlineplus.gov/images/touch-icon.png" />
<meta property="fb:app_id" content="1042245625821448" />
<meta property="og:title" content="Crohn&#x27;s disease: MedlinePlus Genetics" />
<meta property="og:url" content="https://medlineplus.gov/genetics/condition/crohns-disease/" />
<meta property="og:image" content="https://medlineplus.gov/images/GeneticCondition_Share.jpg" />
<meta property="og:description" content="Crohn&#x27;s disease is a complex, chronic disorder that primarily affects the digestive system . Explore symptoms, inheritance, genetics of this condition." />
<meta name="twitter:card" content="summary_large_image" />
<meta name="twitter:site" content="@medlineplus" />
<meta name="twitter:creator" content="@medlineplus" />
<meta name="twitter:title" content="Crohn&#x27;s disease: MedlinePlus Genetics" />
<meta name="twitter:description" content="Crohn&#x27;s disease is a complex, chronic disorder that primarily affects the digestive system . Explore symptoms, inheritance, genetics of this condition." />
<meta name="twitter:image" content="https://medlineplus.gov/images/GeneticCondition_Share.jpg" />
<meta name="twitter:image:alt" content=""/>
<meta property="og:image:alt" content="" />
<title>Crohn&#x27;s disease: MedlinePlus Genetics</title>
<link rel="stylesheet" href="https://medlineplus.gov/css/common_new.css?1738956988192" />
<!--[if IE 8]> <link rel="stylesheet" href="https://medlineplus.gov/css/ie8/common.css"> <![endif]-->
<link rel="stylesheet" href="https://medlineplus.gov/uswds/css/uswds_styles.css" />
<script type="text/javascript">document.getElementsByTagName('html')[0].className = document.getElementsByTagName('html')[0].className.replace( /(?:^|\s)nojs(?!\S)/g , '').trim();</script>
<script src="https://medlineplus.gov/uswds/js/uswds-init.min.js" type="text/javascript"></script>
<script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':
new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],
j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src=
'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);
})(window,document,'script','dataLayer','GTM-MMVM77');</script>
</head>
<body>
<noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-MMVM77"
height="0" width="0" style="display:none;visibility:hidden" title="googletagmanager"></iframe></noscript>
<a name="top" id="top"></a>
<a class="hide-offscreen" href="#start">Skip navigation</a>
<section
class="usa-banner"
aria-label="Official website of the United States government"
>
<div class="usa-accordion">
<header class="usa-banner__header">
<div class="usa-banner__inner">
<div class="grid-col-auto">
<img
aria-hidden="true"
class="usa-banner__header-flag"
src="https://medlineplus.gov/uswds/img/us_flag_small.png"
alt=""
/>
</div>
<div class="grid-col-fill tablet:grid-col-auto" aria-hidden="true">
<p class="usa-banner__header-text">
An official website of the United States government
</p>
<p class="usa-banner__header-action">Heres how you know</p>
</div>
<button
type="button"
class="usa-accordion__button usa-banner__button"
aria-expanded="false"
aria-controls="gov-banner-default-default"
>
<span class="usa-banner__button-text">Heres how you know</span>
</button>
</div>
</header>
<div
class="usa-banner__content usa-accordion__content"
id="gov-banner-default-default"
>
<div class="grid-row grid-gap-lg">
<div class="usa-banner__guidance tablet:grid-col-6">
<img
class="usa-banner__icon usa-media-block__img"
src="https://medlineplus.gov/uswds/img/icon-dot-gov.svg"
role="img"
alt=""
aria-hidden="true"
/>
<div class="usa-media-block__body">
<p>
<strong>Official websites use .gov</strong><br />A
<strong>.gov</strong> website belongs to an official government
organization in the United States.
</p>
</div>
</div>
<div class="usa-banner__guidance tablet:grid-col-6">
<img
class="usa-banner__icon usa-media-block__img"
src="https://medlineplus.gov/uswds/img/icon-https.svg"
role="img"
alt=""
aria-hidden="true"
/>
<div class="usa-media-block__body">
<p>
<strong>Secure .gov websites use HTTPS</strong><br />A
<strong>lock</strong> (
<span class="icon-lock"
><svg
xmlns="http://www.w3.org/2000/svg"
width="52"
height="64"
viewBox="0 0 52 64"
class="usa-banner__lock-image"
role="img"
aria-labelledby="banner-lock-description-default"
focusable="false"
>
<title id="banner-lock-title-default">Lock</title>
<desc id="banner-lock-description-default">Locked padlock icon</desc>
<path
fill="#000000"
fill-rule="evenodd"
d="M26 0c10.493 0 19 8.507 19 19v9h3a4 4 0 0 1 4 4v28a4 4 0 0 1-4 4H4a4 4 0 0 1-4-4V32a4 4 0 0 1 4-4h3v-9C7 8.507 15.507 0 26 0zm0 8c-5.979 0-10.843 4.77-10.996 10.712L15 19v9h22v-9c0-6.075-4.925-11-11-11z"
/>
</svg> </span
>) or <strong>https://</strong> means youve safely connected to
the .gov website. Share sensitive information only on official,
secure websites.
</p>
</div>
</div>
</div>
</div>
</div>
</section>
<div id="mplus-wrap">
<header>
<div id="mplus-header">
<div id="mplus-orgs">
<a href="https://www.nih.gov/" class="nih-org" target="_blank" title="National Institutes of Health">
<img class="nihlogo" src="https://medlineplus.gov/images/nihlogo.png" alt="National Institutes of Health"/>
</a><a href="https://www.nlm.nih.gov/" target="_blank"> National Library of Medicine</a>
</div>
<div id="mplus-logo" class="years-25">
<a href="https://medlineplus.gov/">
<img alt="MedlinePlus Trusted Health Information for You" title="MedlinePlus Trusted Health Information for You" src="https://medlineplus.gov/images/m_logo_25.png"/>
</a>
</div>
<div id="mplus-nav">
<div aria-live="polite" class="sm-live-area hide-offscreen"></div>
<button id="sm-menu-btn" class="navmenu-btn" title="Menu" role="button" aria-controls="mplus-menu-list" type="submit">Menu<span class="icon icon-nav-menu"></span></button>
<ul id="mplus-menu-list" class="nav-list">
<li><a href="https://medlineplus.gov/healthtopics.html">Health Topics</a></li>
<li><a href="https://medlineplus.gov/druginformation.html">Drugs & Supplements</a></li>
<li><a href="https://medlineplus.gov/genetics/">Genetics</a></li>
<li><a href="https://medlineplus.gov/lab-tests/">Medical Tests</a></li>
<li><a href="https://medlineplus.gov/encyclopedia.html">Medical Encyclopedia</a></li>
<li><a href="https://medlineplus.gov/about/">About MedlinePlus</a></li>
</ul><button id="sm-search-btn" class="navmenu-btn" title="Search" role="button" aria-controls="mplus-search" type="submit"><span class="hide-offscreen"></span>Search<span class="icon icon-nav-search"></span></button>
<div class="top-1">
<form id="mplus-search" method="get" action="https://vsearch.nlm.nih.gov/vivisimo/cgi-bin/query-meta" title="Search MedlinePlus" target="_self">
<input type="hidden" name="v:project" value="medlineplus"/>
<input type="hidden" name="v:sources" value="medlineplus-bundle"/>
<div class="form-box text-combo">
<div class="form-area"><label class="hide-offscreen" for="searchtext_primary">Search MedlinePlus</label>
<input id="searchtext_primary" class="form-text" type="text" placeholder="Search MedlinePlus" alt="#Site Search input" title="Site Search input" maxlength="400" size="40" name="query" autocomplete="off" role="textbox" aria-autocomplete="list" aria-haspopup="true"/>
</div>
<div class="button-area">
<button class="form-btn" title="Search MedlinePlus" alt="Search MedlinePlus" type="submit">GO</button>
</div>
</div>
</form>
<div class="secondarynav">
<ul class="nav-list">
<li><a href="https://medlineplus.gov/about/"><span>About MedlinePlus</span></a></li>
<li><a href="https://medlineplus.gov/whatsnew/">What's New</a></li>
<li><a href="https://medlineplus.gov/sitemap.html"><span>Site Map</span></a></li>
<li><a href="https://support.nlm.nih.gov/knowledgebase/category/?id=CAT-01231&category=medlineplus&from=https%3A//medlineplus.gov/genetics/condition/crohns-disease/" target="_blank"><span>Customer Support</span></a></li>
</ul>
</div>
</div>
<div id="mplus-nav-bar">
<ul class="nav-list">
<li><a href="https://medlineplus.gov/healthtopics.html">Health Topics</a></li><li><a href="https://medlineplus.gov/druginformation.html">Drugs & Supplements</a></li><li><a href="https://medlineplus.gov/genetics/">Genetics</a></li><li><a href="https://medlineplus.gov/lab-tests/">Medical Tests</a></li><li><a href="https://medlineplus.gov/encyclopedia.html">Medical Encyclopedia</a></li>
</ul>
</div>
</div>
</div>
</header>
<div id="mplus-content">
<div id="breadcrumbs">
<div itemprop="breadcrumb" itemscope="" itemtype="http://schema.org/BreadcrumbList">
<span class="hide-offscreen">You Are Here:</span>
<div itemscope itemprop="itemListElement" itemtype="http://schema.org/ListItem">
<a href="https://medlineplus.gov/" itemprop="item"><span itemprop="name">Home</span></a>
&rarr;
<meta itemprop="position" content="1"/>
</div>
<div itemscope itemprop="itemListElement" itemtype="http://schema.org/ListItem">
<a href="https://medlineplus.gov/genetics/" itemprop="item"><span itemprop="name">Genetics</span></a>
&rarr;
<meta itemprop="position" content="2"/>
</div>
<div itemscope itemprop="itemListElement" itemtype="http://schema.org/ListItem">
<a href="https://medlineplus.gov/genetics/condition/" itemprop="item"><span itemprop="name">Genetic Conditions</span></a>
&rarr;
<meta itemprop="position" content="3"/>
</div>
<div>
<span>Crohn&#x27;s disease</span>
</div>
</div>
</div>
<span class="page-url print-only">URL of this page: https://medlineplus.gov/genetics/condition/crohns-disease/</span>
<div >
<article>
<div class="page-info">
<div class="page-title">
<a name="start" id="start"></a>
<h1>Crohn&#x27;s disease</h1>
</div>
<div class="page-actions"></div>
<noscript><span class="js-disabled-message">To use the sharing features on this page, please enable JavaScript.</span></noscript>
</div>
<div class="main">
<div class="mp-exp exp-full" data-bookmark="description">
<h2>Description</h2>
<section><div class="mp-content"><p>Crohn's disease is a complex, long-lasting (chronic) disorder that primarily affects <a class="image-modal" data-alt="Anatomy of the lower digestive system, showing the colon, small intestine, rectum, and other organs." data-caption="Anatomy of the lower digestive system, showing the colon and other organs." data-credit="© 2011 Terese Winslow LLC for the National Cancer Institute" data-filepath="images/PX0001VQ_PRESENTATION.jpeg" data-imgtype="genetics" data-pix="PX0001VQ" data-sourceurl="https://visualsonline.cancer.gov/details.cfm?imageid=7179" data-title="Lower gastrointestinal tract" href="https://medlineplus.gov/images/PX0001VQ_PRESENTATION.jpeg" id="PX0001VQ_1" title="Show image">the digestive system<img alt="" class="image-modal-icon" src="https://medlineplus.gov/css/img/icon_camera_small.png"/></a>. This condition involves an abnormal immune response that causes excess inflammation. It most often affects the intestinal walls, particularly in the lower part of the small intestine (<a class="image-modal" data-alt="The small intestine connects the stomach and the colon. It includes the duodenum, jejunum, and ileum." data-caption="The small intestine connects the stomach and the colon. It includes the duodenum, jejunum, and ileum." data-credit="© 2013 Terese Winslow LLC for the National Cancer Institute" data-filepath="images/PX00022E_PRESENTATION.jpeg" data-imgtype="genetics" data-pix="PX00022E" data-sourceurl="https://visualsonline.cancer.gov/details.cfm?imageid=9441" data-title="Small intestine" href="https://medlineplus.gov/images/PX00022E_PRESENTATION.jpeg" id="PX00022E_2" title="Show image">the ileum<img alt="" class="image-modal-icon" src="https://medlineplus.gov/css/img/icon_camera_small.png"/></a>) and portions of the large intestine (<a class="image-modal" data-alt="The colon includes the ascending colon, cecum, transverse colon, descending colon, sigmoid colon, and rectum." data-caption="The colon includes the ascending colon, cecum, transverse colon, descending colon, sigmoid colon, and rectum." data-credit="© 2012 Terese Winslow LLC for the National Cancer Institute" data-filepath="images/PX00022A_PRESENTATION.jpeg" data-imgtype="genetics" data-pix="PX00022A" data-sourceurl="https://visualsonline.cancer.gov/details.cfm?imageid=9380" data-title="Colon" href="https://medlineplus.gov/images/PX00022A_PRESENTATION.jpeg" id="PX00022A_3" title="Show image">the colon<img alt="" class="image-modal-icon" src="https://medlineplus.gov/css/img/icon_camera_small.png"/></a>). However, inflammation can occur in any part of the digestive system, from the mouth to the anus. The inflamed tissues become <a class="image-modal" data-alt="Diagram showing healthy colon compared with abnormalities in Crohn disease and ulcerative colitis. In Crohn disease the abnormalities include fat wrapping, fissures, a cobblestone appearance, and muscle hypertrophy, while ulceration within the mucosa occurs in ulcerative colitis." data-caption="" data-credit="Alila Medical Media/Shutterstock.com" data-filepath="images/PX00019K_PRESENTATION.jpeg" data-imgtype="genetics" data-pix="PX00019K" data-sourceurl="" data-title="Intestinal abnormalities in Crohn disease and ulcerative colitis" href="https://medlineplus.gov/images/PX00019K_PRESENTATION.jpeg" id="PX00019K_4" title="Show image">thick and swollen<img alt="" class="image-modal-icon" src="https://medlineplus.gov/css/img/icon_camera_small.png"/></a>, and the inner surfaces of the digestive system may develop open sores (ulcers).</p><p>Crohn's disease most commonly appears in a person's late teens or twenties, although the disease can begin at any age. Signs and symptoms tend to flare up multiple times throughout life. The most common features of this condition are persistent diarrhea, abdominal pain and cramping, loss of appetite, weight loss, and fever. Some people with Crohn's disease have blood in the stool from inflamed tissues in the intestine; over time, chronic bleeding can lead to a low number of red blood cells (<a class="image-modal" data-alt="Diagram of blood cells, showing one sample with normal blood and another with a smaller number of red blood cells, indicating anemia" data-caption="" data-credit="Designua/Shutterstock.com" data-filepath="images/PX0001AS_PRESENTATION.jpeg" data-imgtype="genetics" data-pix="PX0001AS" data-sourceurl="" data-title="Anemia" href="https://medlineplus.gov/images/PX0001AS_PRESENTATION.jpeg" id="PX0001AS_5" title="Show image">anemia<img alt="" class="image-modal-icon" src="https://medlineplus.gov/css/img/icon_camera_small.png"/></a>). In some cases, Crohn's disease can also cause inflammation affecting the joints, eyes, or skin.</p><p>Intestinal blockage is a common complication of Crohn's disease. Blockages are caused by swelling or a buildup of scar tissue in the intestinal walls. Some affected individuals also develop fistulae, which are abnormal connections between the intestine and other tissues. Fistulae occur when ulcers break through the intestinal wall and passages form between loops of the intestine or between the intestine and nearby structures (such as the bladder, vagina, or skin).</p><p>Crohn's disease is one common form of inflammatory bowel disease (IBD). Another type of IBD, <a data-pid="15967" href="https://medlineplus.gov/genetics/condition/ulcerative-colitis/">ulcerative colitis</a>, also causes chronic inflammation of the intestinal lining. Unlike Crohn's disease, which can affect any part of the digestive system, ulcerative colitis typically causes inflammation only in the colon.</p></div>
</section>
</div>
<div class="mp-exp exp-full" data-bookmark="frequency">
<h2>Frequency</h2>
<section><div class="mp-content"><p>Crohn's disease is most common in western Europe and North America, where it has a prevalence of 100 to 300 per 100,000 people. More than half a million Americans are currently affected by this disorder. Crohn's disease occurs more often in people of northern European ancestry and those of eastern and central European (Ashkenazi) Jewish descent than among people of other ethnic backgrounds. For reasons that are not clear, the prevalence of Crohn's disease has been increasing in the United States and some other parts of the world.</p></div>
</section>
</div>
<div class="mp-exp exp-full" data-bookmark="causes">
<h2>Causes</h2>
<section><div class="mp-content"><p>The causes of Crohn's disease are complex. This condition results from a combination of genetic, environmental, and lifestyle factors, many of which are unknown.</p><p>Many of the major genes related to Crohn's disease, including <em><a data-pid="17615" href="https://medlineplus.gov/genetics/gene/nod2/">NOD2</a></em>, <em><a data-pid="17759" href="https://medlineplus.gov/genetics/gene/atg16l1/">ATG16L1</a></em>, <em><a data-pid="17761" href="https://medlineplus.gov/genetics/gene/il23r/">IL23R</a></em>, and <em><a data-pid="17763" href="https://medlineplus.gov/genetics/gene/irgm/">IRGM</a></em>, are involved in immune system function. The proteins produced from these genes help the immune system sense and respond appropriately to bacteria in the lining of the digestive tract. Many of the proteins play roles in autophagy, which is a process that cells use to surround and destroy bacteria and viruses. Variations in these genes may disrupt autophagy or otherwise alter the immune system's response to bacteria in the digestive system. In combination with other genetic and environmental factors, these changes can lead to chronic inflammation and result in the digestive problems characteristic of Crohn's disease.</p><p>Researchers have identified at least 200 genetic variations that influence Crohn's disease risk. The majority of these variations are thought to act by subtly changing the amount, timing, and location of gene activity (expression). The mechanism by which many of the variations influence disease risk is unknown, although they probably alter immune system function in some way. Considered together, the known genetic variations account for only a small percentage of the total Crohn's disease risk that is due to genetic factors.</p><p>Environmental and lifestyle factors likely have a large impact on Crohn's disease risk. Studies have found that cigarette smoking doubles the likelihood of developing this disease, and it may also play a role in periodic flare-ups of signs and symptoms. Crohn's disease is more prevalent in urbanized societies, suggesting that factors related to increased industrialization and sanitation also play a role. Additionally, certain aspects of a person's diet, including sugar, fats, and fiber, have been proposed to influence Crohn's disease risk. Many of the potential lifestyle and environmental risk factors are probably related, directly or indirectly, to abnormal inflammation. However, the exact relationship between these factors and Crohn's disease risk remains unclear.</p></div>
</section>
<section>
<div class="related-genes mp-exp exp-full">
<h3>Learn more about the genes associated with Crohn&#x27;s disease</h3>
<ul class="relatedmp">
<li><a href="https://medlineplus.gov/genetics/gene/atg16l1/">ATG16L1</a></li>
<li><a href="https://medlineplus.gov/genetics/gene/hla-drb1/">HLA-DRB1</a></li>
<li><a href="https://medlineplus.gov/genetics/gene/il23r/">IL23R</a></li>
<li><a href="https://medlineplus.gov/genetics/gene/irgm/">IRGM</a></li>
<li><a href="https://medlineplus.gov/genetics/gene/jak2/">JAK2</a></li>
<li><a href="https://medlineplus.gov/genetics/gene/lrrk2/">LRRK2</a></li>
<li><a href="https://medlineplus.gov/genetics/gene/nod2/">NOD2</a></li>
<li><a href="https://medlineplus.gov/genetics/gene/slc22a5/">SLC22A5</a></li>
<li><a href="https://medlineplus.gov/genetics/gene/stat3/">STAT3</a></li>
</ul>
<p><strong>Additional Information from NCBI Gene:</strong></p>
<ul class="relatedmp">
<li><a href="https://www.ncbi.nlm.nih.gov/gene/3586" target="TheNewWin">IL10</a></li>
<li><a href="https://www.ncbi.nlm.nih.gov/gene/3593" target="TheNewWin">IL12B</a></li>
<li><a href="https://www.ncbi.nlm.nih.gov/gene/4583" target="TheNewWin">MUC2</a></li>
<li><a href="https://www.ncbi.nlm.nih.gov/gene/6583" target="TheNewWin">SLC22A4</a></li>
<li><a href="https://www.ncbi.nlm.nih.gov/gene/7297" target="TheNewWin">TYK2</a></li>
</ul>
</div>
</section>
</div>
<div class="mp-exp exp-full" data-bookmark="inheritance">
<h2>Inheritance</h2>
<section><div class="mp- mp-content"><p>The inheritance pattern of Crohn's disease is unclear because many genetic and environmental factors are likely to be involved. However, Crohn's disease tends to cluster in families; about 15 percent of affected people have a first-degree relative (such as a parent or sibling) with the disorder.</p></div>
</section>
</div>
<div class="mp-exp exp-full" data-bookmark="synonyms">
<h2>Other Names for This Condition</h2>
<section>
<ul class="bulletlist">
<li>Colitis, granulomatous</li> <li>Crohn disease</li> <li>Crohn&#x27;s enteritis</li> <li>Enteritis, granulomatous</li> <li>Enteritis, regional</li>
</ul>
</section>
</div>
<div class="mp-exp exp-full" data-bookmark="resources">
<h2>Additional Information & Resources</h2>
<section>
<div class="mp-content">
<h2>Genetic Testing Information</h2>
<ul>
<li><a href="https://www.ncbi.nlm.nih.gov/gtr/conditions/CN260071/" target="TheNewWin">Genetic Testing Registry: Inflammatory bowel disease 1</a> <span class="desc-text"><img alt="From the National Institutes of Health" title="From the National Institutes of Health" src="https://medlineplus.gov/images/nih.png" class="imgdesc" width="25" height="16"></span></li>
</ul>
</div>
</section>
<section>
<div class="mp-content">
<h2>Patient Support and Advocacy Resources</h2>
<ul>
<li><a href="https://rarediseases.org/" target="TheNewWin">National Organization for Rare Disorders (NORD)</a></li>
</ul>
</div>
</section>
<section>
<div class="mp-content">
<h2>Clinical Trials</h2>
<ul>
<li><a href="https://clinicaltrials.gov/search?cond=%22Crohn%27s disease%22" target="TheNewWin">ClinicalTrials.gov</a> <span class="desc-text"><img alt="From the National Institutes of Health" title="From the National Institutes of Health" src="https://medlineplus.gov/images/nih.png" class="imgdesc" width="25" height="16"></span></li>
</ul>
</div>
</section>
<section>
<div class="mp-content">
<h2>Catalog of Genes and Diseases from OMIM</h2>
<ul>
<li><a href="https://omim.org/entry/601458" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 2; IBD2</a></li>
<li><a href="https://omim.org/entry/191390" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 11; IBD11</a></li>
<li><a href="https://omim.org/entry/266600" target="TheNewWin">INFLAMMATORY BOWEL DISEASE (CROHN DISEASE) 1; IBD1</a></li>
<li><a href="https://omim.org/entry/605225" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 7; IBD7</a></li>
<li><a href="https://omim.org/entry/604519" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 3; IBD3</a></li>
<li><a href="https://omim.org/entry/606348" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 5; IBD5</a></li>
<li><a href="https://omim.org/entry/608448" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 9; IBD9</a></li>
<li><a href="https://omim.org/entry/606668" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 8; IBD8</a></li>
<li><a href="https://omim.org/entry/606674" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 6; IBD6</a></li>
<li><a href="https://omim.org/entry/606675" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 4; IBD4</a></li>
<li><a href="https://omim.org/entry/612241" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 12; IBD12</a></li>
<li><a href="https://omim.org/entry/612278" target="TheNewWin">INFLAMMATORY BOWEL DISEASE (CROHN DISEASE) 19; IBD19</a></li>
<li><a href="https://omim.org/entry/612288" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 20; IBD20</a></li>
<li><a href="https://omim.org/entry/612354" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 21; IBD21</a></li>
<li><a href="https://omim.org/entry/611081" target="TheNewWin">INFLAMMATORY BOWEL DISEASE (CROHN DISEASE) 10; IBD10</a></li>
<li><a href="https://omim.org/entry/612244" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 13; IBD13</a></li>
<li><a href="https://omim.org/entry/612245" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 14; IBD14</a></li>
<li><a href="https://omim.org/entry/612255" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 15; IBD15</a></li>
<li><a href="https://omim.org/entry/612259" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 16; IBD16</a></li>
<li><a href="https://omim.org/entry/612261" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 17; IBD17</a></li>
<li><a href="https://omim.org/entry/612262" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 18; IBD18</a></li>
<li><a href="https://omim.org/entry/612566" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 24; IBD24</a></li>
<li><a href="https://omim.org/entry/612567" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 25, AUTOSOMAL RECESSIVE; IBD25</a></li>
<li><a href="https://omim.org/entry/613148" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 28, AUTOSOMAL RECESSIVE; IBD28</a></li>
<li><a href="https://omim.org/entry/612796" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 27; IBD27</a></li>
<li><a href="https://omim.org/entry/612380" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 22; IBD22</a></li>
<li><a href="https://omim.org/entry/612381" target="TheNewWin">INFLAMMATORY BOWEL DISEASE 23; IBD23</a></li>
</ul>
</div>
</section>
<section>
<div class="mp-content">
<h2>Scientific Articles on PubMed</h2>
<ul>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/?term=(Crohn+Disease%5BMAJR%5D)+AND+(Crohn+disease%5BTI%5D)+OR+(Crohn&#x27;s+disease%5BTI%5D)+AND+english%5Bla%5D+AND+human%5Bmh%5D+AND+%22last+720+days%22%5Bdp%5D" target="TheNewWin">PubMed</a> <span class="desc-text"><img alt="From the National Institutes of Health" title="From the National Institutes of Health" src="https://medlineplus.gov/images/nih.png" class="imgdesc" width="25" height="16"></span></li>
</ul>
</div>
</section>
</div>
<div class="mp-exp exp-full" data-bookmark="references">
<h2>References</h2>
<section>
<div class="mp-content">
<ul>
<li>Boyapati R, Satsangi J, Ho GT. Pathogenesis of Crohn&#x27;s disease. F1000Prime
Rep. 2015 Apr 2;7:44. doi: 10.12703/P7-44. eCollection 2015. <a href="https://pubmed.ncbi.nlm.nih.gov/26097717" target="TheNewWin">Citation on PubMed</a> or <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4447044/" target="TheNewWin">Free article on PubMed Central</a></li>
<li>Ellinghaus D, Bethune J, Petersen BS, Franke A. The genetics of Crohn&#x27;s
disease and ulcerative colitis--status quo and beyond. Scand J Gastroenterol.
2015 Jan;50(1):13-23. doi: 10.3109/00365521.2014.990507. <a href="https://pubmed.ncbi.nlm.nih.gov/25523552" target="TheNewWin">Citation on PubMed</a></li>
<li>Feuerstein JD, Cheifetz AS. Crohn Disease: Epidemiology, Diagnosis, and
Management. Mayo Clin Proc. 2017 Jul;92(7):1088-1103. doi:
10.1016/j.mayocp.2017.04.010. Epub 2017 Jun 7. <a href="https://pubmed.ncbi.nlm.nih.gov/28601423" target="TheNewWin">Citation on PubMed</a></li>
<li>Jostins L, Ripke S, Weersma RK, Duerr RH, McGovern DP, Hui KY, Lee JC, Schumm
LP, Sharma Y, Anderson CA, Essers J, Mitrovic M, Ning K, Cleynen I, Theatre E,
Spain SL, Raychaudhuri S, Goyette P, Wei Z, Abraham C, Achkar JP, Ahmad T,
Amininejad L, Ananthakrishnan AN, Andersen V, Andrews JM, Baidoo L, Balschun T,
Bampton PA, Bitton A, Boucher G, Brand S, Buning C, Cohain A, Cichon S, D&#x27;Amato
M, De Jong D, Devaney KL, Dubinsky M, Edwards C, Ellinghaus D, Ferguson LR,
Franchimont D, Fransen K, Gearry R, Georges M, Gieger C, Glas J, Haritunians T,
Hart A, Hawkey C, Hedl M, Hu X, Karlsen TH, Kupcinskas L, Kugathasan S, Latiano
A, Laukens D, Lawrance IC, Lees CW, Louis E, Mahy G, Mansfield J, Morgan AR,
Mowat C, Newman W, Palmieri O, Ponsioen CY, Potocnik U, Prescott NJ, Regueiro M,
Rotter JI, Russell RK, Sanderson JD, Sans M, Satsangi J, Schreiber S, Simms LA,
Sventoraityte J, Targan SR, Taylor KD, Tremelling M, Verspaget HW, De Vos M,
Wijmenga C, Wilson DC, Winkelmann J, Xavier RJ, Zeissig S, Zhang B, Zhang CK,
Zhao H; International IBD Genetics Consortium (IIBDGC); Silverberg MS, Annese V,
Hakonarson H, Brant SR, Radford-Smith G, Mathew CG, Rioux JD, Schadt EE, Daly MJ,
Franke A, Parkes M, Vermeire S, Barrett JC, Cho JH. Host-microbe interactions
have shaped the genetic architecture of inflammatory bowel disease. Nature. 2012
Nov 1;491(7422):119-24. doi: 10.1038/nature11582. <a href="https://pubmed.ncbi.nlm.nih.gov/23128233" target="TheNewWin">Citation on PubMed</a> or <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3491803/" target="TheNewWin">Free article on PubMed Central</a></li>
<li>Liu JZ, Anderson CA. Genetic studies of Crohn&#x27;s disease: past, present and
future. Best Pract Res Clin Gastroenterol. 2014 Jun;28(3):373-86. doi:
10.1016/j.bpg.2014.04.009. Epub 2014 May 6. <a href="https://pubmed.ncbi.nlm.nih.gov/24913378" target="TheNewWin">Citation on PubMed</a> or <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4075408/" target="TheNewWin">Free article on PubMed Central</a></li>
<li>Nguyen GC, Loftus EV Jr, Hirano I, Falck-Ytter Y, Singh S, Sultan S; AGA
Institute Clinical Guidelines Committee. American Gastroenterological Association
Institute Guideline on the Management of Crohn&#x27;s Disease After Surgical
Resection. Gastroenterology. 2017 Jan;152(1):271-275. doi:
10.1053/j.gastro.2016.10.038. Epub 2016 Nov 10. No abstract available. <a href="https://pubmed.ncbi.nlm.nih.gov/27840074" target="TheNewWin">Citation on PubMed</a></li>
<li>Parkes M, Barrett JC, Prescott NJ, Tremelling M, Anderson CA, Fisher SA,
Roberts RG, Nimmo ER, Cummings FR, Soars D, Drummond H, Lees CW, Khawaja SA,
Bagnall R, Burke DA, Todhunter CE, Ahmad T, Onnie CM, McArdle W, Strachan D,
Bethel G, Bryan C, Lewis CM, Deloukas P, Forbes A, Sanderson J, Jewell DP,
Satsangi J, Mansfield JC; Wellcome Trust Case Control Consortium; Cardon L,
Mathew CG. Sequence variants in the autophagy gene IRGM and multiple other
replicating loci contribute to Crohn&#x27;s disease susceptibility. Nat Genet. 2007
Jul;39(7):830-2. doi: 10.1038/ng2061. Epub 2007 Jun 6. <a href="https://pubmed.ncbi.nlm.nih.gov/17554261" target="TheNewWin">Citation on PubMed</a> or <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2628541/" target="TheNewWin">Free article on PubMed Central</a></li>
<li>Rioux JD, Xavier RJ, Taylor KD, Silverberg MS, Goyette P, Huett A, Green T,
Kuballa P, Barmada MM, Datta LW, Shugart YY, Griffiths AM, Targan SR, Ippoliti
AF, Bernard EJ, Mei L, Nicolae DL, Regueiro M, Schumm LP, Steinhart AH, Rotter
JI, Duerr RH, Cho JH, Daly MJ, Brant SR. Genome-wide association study identifies
new susceptibility loci for Crohn disease and implicates autophagy in disease
pathogenesis. Nat Genet. 2007 May;39(5):596-604. doi: 10.1038/ng2032. Epub 2007
Apr 15. <a href="https://pubmed.ncbi.nlm.nih.gov/17435756" target="TheNewWin">Citation on PubMed</a> or <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2757939/" target="TheNewWin">Free article on PubMed Central</a></li>
<li>Terdiman JP, Gruss CB, Heidelbaugh JJ, Sultan S, Falck-Ytter YT; AGA Institute
Clinical Practice and Quality Management Committee. American Gastroenterological
Association Institute guideline on the use of thiopurines, methotrexate, and
anti-TNF-alpha biologic drugs for the induction and maintenance of remission in
inflammatory Crohn&#x27;s disease. Gastroenterology. 2013 Dec;145(6):1459-63. doi:
10.1053/j.gastro.2013.10.047. No abstract available. <a href="https://pubmed.ncbi.nlm.nih.gov/24267474" target="TheNewWin">Citation on PubMed</a></li>
<li>Torres J, Mehandru S, Colombel JF, Peyrin-Biroulet L. Crohn&#x27;s disease. Lancet.
2017 Apr 29;389(10080):1741-1755. doi: 10.1016/S0140-6736(16)31711-1. Epub 2016
Dec 1. <a href="https://pubmed.ncbi.nlm.nih.gov/27914655" target="TheNewWin">Citation on PubMed</a></li>
<li>Wang MH, Picco MF. Crohn&#x27;s Disease: Genetics Update. Gastroenterol Clin North
Am. 2017 Sep;46(3):449-461. doi: 10.1016/j.gtc.2017.05.002. Epub 2017 Jul 19.
<a href="https://pubmed.ncbi.nlm.nih.gov/28838408" target="TheNewWin">Citation on PubMed</a></li>
</ul>
</div>
</section>
</div>
</div>
<div class="side">
<aside>
<section><div class="side-section">
<div class="mp-img">
<a class="image-modal" id="13838_featured" href="https://medlineplus.gov/images/PX000150_PRESENTATION.jpeg"
data-filepath="images/PX000150_PRESENTATION.jpeg"
data-title="Crohn disease"
data-caption=""
data-credit="Alila Medical Media/Shutterstock.com"
data-alt="Illustration of the effects of Crohn disease on the ileum, the lower third of the small intestine"
data-sourceurl="">
<img class="scale-with-grid" src="https://medlineplus.gov/images/PX000150_PRESENTATION.jpeg" alt="" title="Crohn disease">
<span class="view-img-full-size" title="Show image">Enlarge image</span>
</a>
</div>
</div></section>
<section><div class="side-section">
</div></section>
<section><div class="side-section">
<div class="section-header">
<h2>Related Health Topics</h2>
</div>
<div class="section-body">
<ul class="relatedmp">
<li><a href="https://medlineplus.gov/crohnsdisease.html">Crohn&#x27;s Disease</a></li>
<li><a href="https://medlineplus.gov/geneticdisorders.html">Genetic Disorders</a></li>
</ul>
</div>
</div></section>
<section><div class="side-section">
<div class="section-header red">
<h2>MEDICAL ENCYCLOPEDIA</h2>
</div>
<div class="section-body" id="more_encyclopedia">
<ul class="relatedmp" style="list-style: none; padding: 0;">
<li><a href="https://medlineplus.gov/ency/article/000249.htm">Crohn disease</a></li>
<li><a href="https://medlineplus.gov/ency/article/002048.htm">Genetics</a></li>
</ul>
</div>
</div></section>
<section><div class="side-section">
<div class="section-header">
<h2>Understanding Genetics</h2>
</div>
<div class="section-body">
<ul class="relatedmp">
<li><a href="https://medlineplus.gov/genetics/understanding/consult/prognosis/">What is the prognosis of a genetic condition?</a></li>
<li><a href="https://medlineplus.gov/genetics/understanding/mutationsanddisorders/mutationscausedisease/">How can gene variants affect health and development?</a></li>
<li><a href="https://medlineplus.gov/genetics/understanding/inheritance/runsinfamily/">What does it mean if a disorder seems to run in my family?</a></li>
<li><a href="https://medlineplus.gov/genetics/understanding/inheritance/inheritancepatterns/">What are the different ways a genetic condition can be inherited?</a></li>
<li><a href="https://medlineplus.gov/genetics/understanding/consult/treatment/">How are genetic conditions treated or managed?</a></li>
</ul>
</div>
</div></section>
<section><div class="side-section">
<div class="section-header hide-offscreen">
<h2>Disclaimers</h2>
</div>
<div class="section-body no-header">
MedlinePlus links to health information from the National Institutes of Health and other federal government agencies. MedlinePlus also links to health information from non-government Web sites. See our <a href="https://medlineplus.gov/disclaimers.html">disclaimer</a> about external links and our <a href="https://medlineplus.gov/criteria.html">quality guidelines</a>.
</div>
</div></section>
</aside>
</div>
<div class="bottom">
<section>
<!--
<div class="from-ghr">
<img src="https://medlineplus.gov/images/fromGHR.png" alt="From Genetics Home Reference" />
<p>Genetics Home Reference has merged with MedlinePlus. Genetics Home Reference content now can be found in the "Genetics" section of MedlinePlus. <a href="https://medlineplus.gov/about/general/genetics/newhome/">Learn more</a></p>
</div>
-->
<p>The information on this site should not be used as a substitute for professional medical care or advice. Contact a health care provider if you have questions about your health.</p>
</section>
</div>
</article>
</div>
<div id="citation-how-to">
<button><span>Learn how to cite this page</span></button>
</div>
</div>
<footer>
<div id="mplus-footer">
<div class="footer1">
<ul class="secondarynav">
<li><a href="https://medlineplus.gov/about/">About MedlinePlus</a></li>
<li><a href="https://medlineplus.gov/whatsnew/">What's New</a></li>
<li><a href="https://medlineplus.gov/sitemap.html">Site Map</a></li>
<li><a href="https://support.nlm.nih.gov/knowledgebase/category/?id=CAT-01231&category=medlineplus&from=https%3A//medlineplus.gov/genetics/condition/crohns-disease/" target="_blank"><span>Customer Support</span></a></li>
</ul>
<ul class="follow-footer">
<li>
<a href="https://medlineplus.gov/rss.html" class="follow-item">Subscribe to RSS<img src="https://medlineplus.gov/images/feed.png" class="social-media-toolkit-icon" alt="RSS" title="RSS"></a>
</li>
<li>
<span class="follow-label">Follow us</span>
<a href="https://twitter.com/medlineplus" class="follow-item" target="_blank">
<img src="https://medlineplus.gov/images/i_share_twitter.png" class="follow-icon" alt="X" title="X">
</a>
<a href="https://facebook.com/Mplus.gov/" class="follow-item" target="_blank">
<img src="https://medlineplus.gov/images/i_share_fb.png" class="follow-icon" alt="Facebook" title="Facebook">
</a>
<a href="https://www.instagram.com/mplusgov/" class="follow-item" target="_blank">
<img src="https://medlineplus.gov/images/Instagram_Glyph_Gradient_RGB.png" class="follow-icon" alt="Instagram" title="Instagram">
</a>
</li>
<li>
<a href="https://medlineplus.gov/social-media-toolkit/" class="social-media-toolkit-item">Social Media Toolkit<img src="https://medlineplus.gov/images/i_social_media_toolkit.png" class="social-media-toolkit-icon" alt="Social Media Toolkit" title="Social Media Toolkit"></a>
</li>
</ul>
</div>
<div class="footer2">
<ul>
<li><a href=" https://www.nlm.nih.gov/web_policies.html" target='_blank'>NLM Web Policies</a></li>
<li><a href="https://medlineplus.gov/about/using/usingcontent/" >Copyright</a></li>
<li><a href="https://medlineplus.gov/accessibility.html">Accessibility</a></li>
<li><a href="https://medlineplus.gov/about/using/criteria/">Guidelines for Links</a></li>
<li><a href="https://medlineplus.gov/plugins.html">Viewers & Players</a></li>
<li><a href="https://www.hhs.gov/vulnerability-disclosure-policy/index.html" target="_blank">HHS Vulnerability Disclosure</a></li>
<li><a href="https://medlineplus.gov/medlineplus-connect/">MedlinePlus Connect for EHRs</a></li>
<li><a href="https://medlineplus.gov/about/developers/">For Developers</a></li>
</ul>
<div class="address">
<a href="https://www.nlm.nih.gov" target="_blank">National Library of Medicine</a>
<span>8600 Rockville Pike, Bethesda, MD 20894</span>
<a href="https://www.hhs.gov" target="_blank">U.S. Department of Health and Human Services</a>
<a href="https://www.nih.gov" target="_blank">National Institutes of Health</a>
</div>
<div class="date">
<span id="lastupdate">Last updated January 3, 2022</span>
</div>
<div class="return-top"><a href="#top" title="Return to top"><img class="return-top-icon" alt="Return to top" src="https://medlineplus.gov/images/return-top.png"></a></div>
</div>
</div>
</footer>
</div>
<script src="https://medlineplus.gov/jslib/jquery-3.6.0.min.js" type="text/javascript"></script>
<script src="https://medlineplus.gov/jslib/mplus-frontend-controls-new.js" type="text/javascript"></script>
<script src="https://medlineplus.gov/jslib/mplus-share.js?id=1112022" type="text/javascript"></script>
<!--[if lte IE 9]><script src="//www.nlm.nih.gov/medlineplus/jslib/jquery.placeholder.js" type="text/javascript"></script><![endif]-->
<script src="https://medlineplus.gov/jslib/control.js" type="text/javascript"></script>
<script src="https://medlineplus.gov/uswds/js/uswds.min.js" type="text/javascript"></script>
</body>
</html>