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Table 2 Features of IBD children classified by the very early onset IBD status

From: Multicenter registry of pediatric inflammatory bowel disease from a developing country

Characteristics

Very early onset IBD

P value

Yes, n = 27

No, n = 44

CD vs. UC

14:13

21:23

0.74

Female, %

25.9

47.7

0.07

Male to female ratio

2.86:1

1.10:1

 

Duration from onset to diagnosis, mean (SD), months

7.7 (8.0)

10.8 (15.9)

0.34

Presenting symptoms and signs, %

   

 Diarrhea

 Bloody stools

 Fever

 Weight loss/failure to thrive

66.7

81.5

22.2

55.6

70.5

65.9

31.8

47.7

0.74

0.16

0.38

0.52

Laboratory investigations

   

 Anemia for age, %

 Thrombocytosis (> 450, 000/cu mm), %

 C-reactive protein ≥ 5 mg/L, %

 Hypoalbuminemia (< 35 g/L), %

81.5

63.0

74.1

44.4

70.5

68.2

75.0

52.3

0.30

0.65

0.93

0.52

Moderate to severe disease (defined by disease activity score*) at presentation, %

70.4

56.8

0.25

Corticosteroid use during the first 3 months of diagnosis

Early immunomodulator use

59.3

51.8

68.1

56.8

0.45

0.68

  1. Abbreviations: CD, Crohn’s disease; IBD, inflammatory bowel disease; UC, ulcerative colitis. One child in this cohort was diagnosed with IBD-unclassified. * Disease severity defined by pediatric Crohn’s disease activity index (PCDAI) score for Crohn’s disease and pediatric ulcerative colitis activity index (PUCAI) for ulcerative colitis. Moderate to severe disease were defined when PCDAI > 30 for Crohn’s disease and PUCAI ≥ 35 for ulcerative colitis