Cutaneous Crohn disease without intestinal manifestations

Extraintestinal manifestations (EIMs) are common in patients with Crohn's disease (CD). Various reactive cutaneous conditions, including erythema nodosum and pyoderma gangrenosum frequently occur as a part of EIMs. However, cutaneous metastasis of CD is rarely encountered in CD patients. Here,...

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Main Authors: Sadegh Vahabi-Amlashi, Sara Molkara, Yahya Shahrokhi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Advanced Biomedical Research
Subjects:
Online Access:http://www.advbiores.net/article.asp?issn=2277-9175;year=2021;volume=10;issue=1;spage=39;epage=39;aulast=Vahabi-Amlashi
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author Sadegh Vahabi-Amlashi
Sara Molkara
Yahya Shahrokhi
author_facet Sadegh Vahabi-Amlashi
Sara Molkara
Yahya Shahrokhi
author_sort Sadegh Vahabi-Amlashi
collection DOAJ
description Extraintestinal manifestations (EIMs) are common in patients with Crohn's disease (CD). Various reactive cutaneous conditions, including erythema nodosum and pyoderma gangrenosum frequently occur as a part of EIMs. However, cutaneous metastasis of CD is rarely encountered in CD patients. Here, we report a 28-year-old female patient presenting with discharging deep fissures on genital and intergluteal regions. The result of a skin biopsy showed noncaseating granulomas. After rule out all the other differential diagnoses for granulomatous skin lesions, we believe this patient may be a case of CD, presenting with skin metastasis and GI tract involvement has not been occurred during 1-year follow-up. We suggest including cutaneous (metastatic) CD in the list of dermatologic differential diagnoses for cutaneous lesions of these sites. These lesions can occasionally precede gastrointestinal (GI) involvement by months and years, therefore, an appropriate follow-up needs to be done to detect GI lesions as soon as they appear.
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spelling doaj.art-ac093e93655e4da49907b6c66ac91eda2022-12-21T20:34:16ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752021-01-01101393910.4103/abr.abr_180_19Cutaneous Crohn disease without intestinal manifestationsSadegh Vahabi-AmlashiSara MolkaraYahya ShahrokhiExtraintestinal manifestations (EIMs) are common in patients with Crohn's disease (CD). Various reactive cutaneous conditions, including erythema nodosum and pyoderma gangrenosum frequently occur as a part of EIMs. However, cutaneous metastasis of CD is rarely encountered in CD patients. Here, we report a 28-year-old female patient presenting with discharging deep fissures on genital and intergluteal regions. The result of a skin biopsy showed noncaseating granulomas. After rule out all the other differential diagnoses for granulomatous skin lesions, we believe this patient may be a case of CD, presenting with skin metastasis and GI tract involvement has not been occurred during 1-year follow-up. We suggest including cutaneous (metastatic) CD in the list of dermatologic differential diagnoses for cutaneous lesions of these sites. These lesions can occasionally precede gastrointestinal (GI) involvement by months and years, therefore, an appropriate follow-up needs to be done to detect GI lesions as soon as they appear.http://www.advbiores.net/article.asp?issn=2277-9175;year=2021;volume=10;issue=1;spage=39;epage=39;aulast=Vahabi-Amlashimetastatic crohn diseasenoncaseating granulomasvulvoperineal fissures
spellingShingle Sadegh Vahabi-Amlashi
Sara Molkara
Yahya Shahrokhi
Cutaneous Crohn disease without intestinal manifestations
Advanced Biomedical Research
metastatic crohn disease
noncaseating granulomas
vulvoperineal fissures
title Cutaneous Crohn disease without intestinal manifestations
title_full Cutaneous Crohn disease without intestinal manifestations
title_fullStr Cutaneous Crohn disease without intestinal manifestations
title_full_unstemmed Cutaneous Crohn disease without intestinal manifestations
title_short Cutaneous Crohn disease without intestinal manifestations
title_sort cutaneous crohn disease without intestinal manifestations
topic metastatic crohn disease
noncaseating granulomas
vulvoperineal fissures
url http://www.advbiores.net/article.asp?issn=2277-9175;year=2021;volume=10;issue=1;spage=39;epage=39;aulast=Vahabi-Amlashi
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AT saramolkara cutaneouscrohndiseasewithoutintestinalmanifestations
AT yahyashahrokhi cutaneouscrohndiseasewithoutintestinalmanifestations