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. 2016 Jan-Feb;61(1):70-4.
doi: 10.4103/0019-5154.174028.

Metastatic Vulvar Crohn's Disease-A Rare Case Report and Short Review of Literature

Debajit Das  1 , Bhaskar Gupta  1 , Mahimanjan Saha  1
Affiliations

Metastatic Vulvar Crohn's Disease-A Rare Case Report and Short Review of Literature

Debajit Das et al. Indian J Dermatol. 2016 Jan-Feb.

Abstract

Metastatic Crohn's disease (CD), a type of extraintestinal CD may present with gynecological manifestation which causes diagnostic dilemma and needs multidisciplinary approach. Vulvar lesions occur in very small number of cases with CD of which asymmetrical labial swelling and edema is the most common presentation. We report a case of hypertrophic exophytic variety of vulvar CD because of its rarity.

Keywords: Crohn's disease; metastatic; vulvar.

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Conflict of interest statement

Conflict of Interest: Nil.

Figures

Figure 1
Figure 1
Hypertrophic exophytic growth and studded with nodules, some of which contain pus and pus with hemorrhage
Figure 2
Figure 2
Colonoscopy reveals aphthous ulceration in descending colon
Figure 3
Figure 3
Dermis is thickened and mildly fibrotic and had a moderately dense perivascular lymphocytic infiltrate with non caseating epitheliod granuloma in the upper dermis. (H and E ×10)
Figure 4
Figure 4
Non-caseating epitheliod granuloma with foreign body and Langhans type giant cells can be seen in the dermis (H and E ×40)
Figure 5
Figure 5
There is thickening of fibrous septa of the subcutaneous fat with small non-caseating granulomas in the thickened fibrous septa (H and E ×10)
See this image and copyright information in PMC

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