I am 30 year old female. 2 years ago I was diagnosed with lupus for which I take prednisone 15mg, and plaquinel 4oomg daily. I also have had alot of trouble with my GI system which includes, surgery for fissures and a sphincterotmy, fissurectomy. I have daily cramping and loose watery diarrhea, mouth ulcers, joint aches, fevers, and elevated sed rate. Recently I have had bleeding with bm's as well, not very much though. I ended up with a colonoscopy and here are my results:
Ileum: ileal mucosa with prominent lymphoid aggregates and single calcified nodule withing lamina propria. see comment.
*comment: Single calcified nodule surrounded by histiocytes within the laminent propria. lesion is most likely an old, non-caseating granuloma. other granulomas are not identified in any of the other biopsies. There is not evidence of ileitis or colitis. Clinical correlation is recommended.
Distal Colon: Fragments of mildly hyperplastic colonic mucosa.
My question is does this old granuloma indicate crohns disease? and does the hyperplastic mucosa indicate a threat for future cancer? and could I actually have negative biopsies and have crohns as it skips areas, leaving spots of healthy tissue between inflammed areas?
Thank you so much for comments.
Tisha