TY - JOUR T1 - PErirectal abscess-reply AU - CHUSID MJ, KRIEGER RW Y1 - 1979/11/01 N1 - 10.1001/archpedi.1979.02130110111030 JO - American Journal of Diseases of Children SP - 1203 EP - 1204 VL - 133 IS - 11 N2 - In Reply.—We share Dr Grand's concern that cases of inflammatory bowel disease with perirectal abscess not be overlooked. Although our follow-up of patients since 1965 may not be complete, none of our patients are known to have inflammatory bowel disease subsequently develop. Similarly, none of the pediatric patients of Enberg et al1 were reported as having underlying inflammatory bowel disease. It seems possible that Dr Grand in practicing at a tertiary care institution may be seeing a somewhat different group of patients with perirectal disease than that described in our study. We agree with Schrock2 that any patient with perianal disease and other symptoms consistent with inflammatory bowel disease such as chronic diarrhea, weight loss, or abdominal pain or extra-gastrointestinal signs and symptoms such as refractory anemia, arthritis, iritis, or skin rash should be elevated fully for the presence of inflammatory bowel disease.2 SN - 0002-922X M3 - doi: 10.1001/archpedi.1979.02130110111030 UR - http://dx.doi.org/10.1001/archpedi.1979.02130110111030 ER -