Abstract
The Crohn’s disease is a multisystem chronic idiopathic disease from inflammatory bowel disease group, which is characterized by the development of immune granulomatous inflammation with the formation of non-necrotizing epithelioid cell sarcoid granulomas as in the wall of the intestine, and extra-intestinal. Granulomas are found, on average, in half of patients with Crohn’s disease, and is twice more often at children, and also in operational material, in comparison with biopsy. Communication of development of granulomas with the autophagy-related genes is revealed and possibility of existence of two phenotypes or genotypes of a disease, depending on existence of a granulematous inflammation though it is impossible to exclude that in some cases granulomas remained not found. Further researches will allow to specify the frequency of development and pathogenesis of granulomas, and also their clinical and predictive value.
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