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Crohn's disease

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TLDR
The epidemiology, immunobiology, amd natural history of Crohn's disease is discussed; new treatment goals and risk stratification of patients are described; and an evidence based rational approach to diagnosis is provided.
About
This article is published in The Lancet.The article was published on 2012-11-03. It has received 1700 citations till now. The article focuses on the topics: Pattern recognition receptor & Immune system.

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Citations
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Cytokines in inflammatory bowel disease

TL;DR: The role of cytokines produced by innate and adaptive immune cells, as well as their relevance to the future therapy of IBD are discussed.
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Recent Advances in Understanding Enteric Pathogenic Escherichia coli

TL;DR: A comprehensive review highlights recent advances in understanding of the intestinal pathotypes of E. coli, which carry an enormous potential to cause disease and continue to present challenges to human health.
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Chemically induced mouse models of acute and chronic intestinal inflammation

TL;DR: This protocol update describes an adaptation of the existing protocol that modifies the technique that has been used to generate improved mouse models that better reflect the nature of IBDs in humans.
References
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Journal ArticleDOI

Epithelial myosin light chain kinase–dependent barrier dysfunction mediates T cell activation–induced diarrhea in vivo

TL;DR: The data show that epithelial MLCK is essential for intestinal barrier dysfunction and that this barrier dysfunction is critical to pathogenesis of diarrheal disease, and indicate that inhibition of epithelialMLCK may be an effective non-immunosuppressive therapy for treatment of immune-mediated intestinal disease.
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Two-Year Combination Antibiotic Therapy With Clarithromycin, Rifabutin, and Clofazimine for Crohn’s Disease

TL;DR: Using combination antibiotic therapy with clarithromycin, rifabutin, and clofazimine for up to 2 years did not find evidence of a sustained benefit, and this finding does not support a significant role for Mycobacterium avium subspecies paratuberculosis in the pathogenesis of Crohn's disease in the majority of patients.
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Inflammatory bowel disease and domestic hygiene in infancy

TL;DR: Crohn's disease was more common in subjects whose first houses had a hot-water tap and ulcerative colitis showed no clear relation to household amenities in infancy, which may explain why the incidence of Crohn’s disease has increased in developed countries over the past 50 years.
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Acute Gastroenteritis Is Followed by an Increased Risk of Inflammatory Bowel Disease

TL;DR: The results are compatible with the hypothesis that infectious agents causing an episode of infectious gastroenteritis could play a role in the initiation and/or exacerbation of IBD.
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Capsule endoscopy has a significantly higher diagnostic yield in patients with suspected and established small-bowel Crohn's disease: a meta-analysis.

TL;DR: A meta-analysis demonstrates that CE is superior to SBR, CTE, and C+IL in the evaluation of suspected CD patients and is also a more effective diagnostic tool in established CD patients compared with S BR, Cte, and PE.
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