Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Apr 8:9:2050313X211008627.
doi: 10.1177/2050313X211008627. eCollection 2021.

Vulvar swelling and the timely diagnosis of Crohn's disease: A case report

Arieh Gomolin  1 , Hanieh Zargham  1 , Ana Maria Sant'Anna  1   2 , Audrey Lovett  1   3
Affiliations
Case Reports

Vulvar swelling and the timely diagnosis of Crohn's disease: A case report

Arieh Gomolin et al. SAGE Open Med Case Rep. .

Abstract

Children with vulvar swelling often present to multiple physicians and face a prolonged period of ambiguity and extraneous treatments. Here, we report a case of an 8-year-old girl who presented to the dermatology clinic with a 2-month history of vulvar swelling and was ultimately diagnosed with Crohn's disease. Although extra-intestinal manifestations are common in inflammatory bowel diseases, they rarely present before an existing diagnosis. This report highlights this potential early manifestation and demonstrates how timely diagnosis leads to improved outcomes for patients, their families, and healthcare systems.

Keywords: Crohn’s disease; diagnosis; pediatrics; skin manifestations; vulvar disease.

PubMed Disclaimer

Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Lip swelling at presentation.
Figure 2.
Figure 2.
Genital swelling at presentation.
See this image and copyright information in PMC

References

    1. Torres J, Mehandru S, Colombel J-F, et al.. Crohn’s disease. Lancet 2017; 389(10080): 1741–1755. - PubMed
    1. Lebwohl M, Fleischmajer R, Janowitz H, et al.. Metastatic Crohn’s disease. J Am Acad Dermatol 1984; 10(1): 33–38. - PubMed
    1. Keiler S, Tyson P, Tamburro J. Metastatic cutaneous Crohn’s disease in children: case report and review of the literature. Pediatr Dermatol 2009; 26(5): 604–609. - PubMed
    1. Granese R, Calagna G, Morabito G, et al.. Vulvar involvement in pediatric Crohn’s disease: a systematic review. Arch Gynecol Obstet 2018; 297(1): 3–11. - PubMed
    1. Mitchell L, Hussey J, Mansfield J, et al.. Vulval oedema: how many doctors does it take to make a diagnosis. Eur J Obstet Gynecol Reprod Biol 2014; 172: 137–138. - PubMed

Publication types

LinkOut - more resources