I never showed granulomas either. Originally dx as UC but as time went by things like anal tags and my fistula as well as skip patterns led them to a final diagnosis of Crohn's. My Crohn's has never been active in my small intestine. The worst of it (more solid inflammation) is rectal, but I do get skip patterns with ulcers in the ascending, transverse, sigmoid and cecum.
--female dx as UC in '04 (1st symptoms in '03), switched to Crohn's in '05, 1 fistula, crohn's colitis, limited to large intestine --rejected (reaction/didn't work): Asacol, AZA, 6-MP, MTX, Remicade, Humira, prednisone, Tysabri
--Prochymal in Phase III study (can't wait til it's approved!)
--currently taking methylprednisolone 40mg-taper. Started Cimzia first dose 2/10/09. Dx Osteoporosis 10/08 started Forteo 1/27/09