At 12, he stopped growing. Doctors were stumped. The answer
The answer is Crohn’s disease
A serious, chronic and incurable autoimmune disorder characterized by severe abdominal cramps and diarrhea.

-Evan had only occasional, mild diarrhea but he had chronic cold cores on the corners of his mouth, a common Crohn’s symptom.
-The ends of his fingers were clubbed.
-Evan was having pain near the lower right abdomen.
-Several tests had indicated unusually high levels of inflammation.
-Evan had greatly improved while taking steroids, a mainstay treatment for Crohn’s.
-There was a family history: Evan’s great-grandmother and another relative had been diagnosed with Crohn’s, and another close relative had a similar disorder, ulcerative colitis.
-Evan also had taken a lot of antibiotics at a young age, which can raise the risk of Crohn’s.
-And finally, the Manns were Ashkenazi Jews, whose descendants came from Central and Eastern Europe; Crohn’s is more common among Ashkenazi Jews than in the general population. Scientists have recently discovered several genetic mutations among Ashkenazi Jews that raise the risk of Crohn’s.

An endoscopy and a colonoscopy confirmed the diagnosis.Because of the severity of Evan’s disease, doctors recommended surgery to remove sections of his inflamed intestines.Evan underwent a surgery and has received regular infusions of Remicade, a drug commonly used to manage Crohn’s. He takes vitamins to counteract nutritional deficiencies.Now 17, he has grown significantly. At 5-6, he weighs 122 pounds.

Why it took so long to diagnose the disease?

-The disease, which is believed to result from an interplay between genetics and the environment, can look different in children and adolescents.
-Pediatric patients sometimes don’t have the classic symptoms seen in adults with Crohn’s .
-chiefly, severe cramps and frequent diarrhea — which can mislead doctors.
-Extreme fatigue is not common and may point to a second, as yet an unidentified problem.
-Kids can get sidetracked into other specialties because no one realizes they have a GI problem.
-Some of these kids may get frequent illnesses or fevers, the latter of which are regarded as signs of infection but actually are signals of inflammation.
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