Review Article

A Comprehensive Review of Infectious Granulomatous Diseases of the Gastrointestinal Tract

Table 4

Comparison of histological features between Mycobacterium tuberculosis, Yersinia, and Crohn’s disease [2, 75].

Histopathological featuresTuberculosisYersinia spp.Crohn’s disease

Number of granulomasNumerousNumerousFew
Size of granulomasLarge (>200 μm)LargeSmall (<200 μm)
Other granuloma features:
 (i) CaseatingCommonFewAbsent
 (ii) ConfluenceCommonCommonAbsent
 (iii) Prominent lymphoid cuffCommonCommonUncommon
 (iv) Lymphoid hyperplasiaCommonVery commonUncommon
 (v) Architectural distortionCommonCommonCommon
 (vi) Ulcers (deep and aphthous)CommonCommonCommon
 (vii) Changes of chronicity unassociated with sites of granulomatous inflammationAbsentAbsentCommon
Multiple sites of involvementCommonRareCommon
Cobble-stoning of mucosaUncommonUncommonCommon
FistulasUncommonRareCommon
Anal or perianal diseaseRareAbsentCommon