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Recognizing that some innocuous processes mimic IBD

Crypt architectural distortion and chronic inflammation suggest IBD; however, close examination shows vascular and smooth muscle proliferation in the lamina propria.

Crypt architectural distortion and chronic inflammation suggest IBD; however, close examination shows vascular and smooth muscle proliferation in the lamina propria.

 

  • 74-year-old woman presented with diarrhea
  • Colonoscopy revealed rectal erythema and mucosal granularity
  • Rule out proctitis

 

 

 

 

Our Diagnosis

  • Benign anorectal mucosa with evidence of trauma/prolapse

The Miraca Difference

  • Findings suggestive of IBD; however, case reviewed at daily conference and determined to represent only trauma/prolapse changes; patient was not labeled with chronic colitis/proctitis
  • Inappropriate treatment with immunosuppressive agents was avoided

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Miraca has been extremely helpful to our office with Meaningful Use. It is such a complex task to undertake, and having knowledgeable people from Miraca to assist with each stage, work flow, and administration is invaluable. You guys have saved us countless hours. Everyone we’ve encountered from Miraca from the beginning like yourself [Rick Ludwico], and now with Joy [Rios], and Amy [Schmid] have been terrific. We count on you guys, and you have guided us throughout the whole process, making it so much easier than it would be otherwise!.
— Pam Kefer, Office Manager
Wallach Derma Center, Danville, Calif.


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