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Minerva Medicolegale 1999 March;119(1): 1-12

language: Italian

Crohn's disease. Proposed medicolegal evaluation for pensionable disability

Scavino R., Pastena M., Iorio M., Mascaro V.


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After a short review of the literature on Crohn's diseases, the authors outline its etiopathogenesis, pathological anatomy, clinical history, diagnostic criteria and instrumental tests used for diagnosis and follow-up, and the indications proposed for the clinical evaluation of active phases of the disease.This disease mainly affects young subjects and represents a high social owing to the major repercussions which affect their working and social life. The paper gives an overview of the difficulties and problems involved in evaluating the permanent damage caused by this bowel disease characterised by partially subjective symptoms and discontinuous evolution. This is followed by a short summary of the current legal tables regarding civil disability and privileged pensions, together with a discussion of the proposed parameters used to evaluate permanent biological damage: from this analysis it is possible to determine the data used in an estimated quantification of this pathology, whether expressly cited or only identified by analogy. Lastly, from with regard to the medicolegal decision affecting a disability pension, the authors underline the importance of arranging the necessary medicolegal tests to renew the ordinary disability benefit every three years and the revision of all services specified by Law 222/84, and they therefore propose an indicative evaluation of the damage caused by Crohn's disease in correlation to indemnifiable forms of disability.

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