Weill Medical College of Cornell University
Children and young adults with Crohn's disease may develop iron deficiency anemia, a condition in which low iron levels reduce the number of healthy red blood cells. This study aims to develop and test a model to help identify which iron treatment approached are most effective for these patients. Researchers will examine laboratory results, disease activity, treatment information, and information about bacteria in the digestive tract. Participants will be followed over time, and questionnaires will assess iron supplement use and related symptoms. The findings may help guide iron treatment for children and young adults with Crohn's disease.
Inclusion Criteria: * Male or female * 3 to 21 years of age * Biopsy confirmed Crohns disease involving gastric, duodenal, and/or jejunal mucosa * Quiescent Crohns disease, assessed by histopathology, CRP, ESR, and PCDAI scores * Iron deficiency anemia, defined as hemoglobin or transferrin saturation below age-defined norms and/or MCV \<80. Exclusion Criteria: * antibiotic use with 6 weeks of endoscopic evaluation
Iron supplementation for treatment of iron deficiency anemia. The dose, schedule, and route are determined by the assigned study arm.
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