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Smoking,the oral contraceptive pill,and Crohn's disease
Authors:Dr. A. J. Wakefield FRCS  A. M. Sawyerr MRCP  M. Hudson MRCP  A. P. Dhillon FRCP  R. E. Pounder FRCP
Affiliation:(1) Inflammatory Bowel Disease Study Group, Academic Department of Medicine, Royal Free Hospital School of Medicine, Pond Street, NW3 2QG London, England;(2) Academic Department of Histopathology, Royal Free Hospital School of Medicine, Pond Street, NW3 2QG London, England
Abstract:Both cigarette smoking and the oral contraceptive pill have been implicated as aggravating factors in Crohn's disease. Based upon the recent demonstration of multifocal gastrointestinal infarction in Crohn's disease, a possible pathogenic mechanism for this condition, we propose how smoking and the oral contraceptive pill may potentiate a tendency for focal thrombosis and hence exacerbate the activity of Crohn's disease.
Keywords:Crohn's disease  procoagulant activity  smoking  oral contraceptive
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