Crohn’s disease presenting as vulvar edema in a 15-year-old girl
Identifieur interne : 002060 ( Pmc/Curation ); précédent : 002059; suivant : 002061Crohn’s disease presenting as vulvar edema in a 15-year-old girl
Auteurs : Hanae Bouzidi [Maroc] ; Radia Chakiri [Maroc] ; Nissrine Amraoui [Maroc] ; Sanae Krich [Maroc] ; Fatima Zahra Mernissi [Maroc] ; Rajae Belmahi [Maroc] ; Moustapha Hida [Maroc]Source :
- Journal of Dermatological Case Reports [ 1898-7249 ] ; 2014.
Abstract
Vulval involvement is an uncommon extraintestinal manifestation of Crohn’s disease, and it is very rare in children. Patients with vulval CD typically present with erythema and edema of the labia majora, which can progresses to extensive ulcer formation. Vulval CD can appear before or after intestinal problems or it may occur simultaneously.
We present a 15-years-old girl with bilateral labial hypertrophy which revealed a Crohn’s disease. The course of her lesion was independent of the intestinal disease and responded significantly to medical treatment including Mesalamine, corticosteroid and local care.
We emphasize that although vulval involvement in childhood is uncommon, Crohn’s disease must be considered in the differential diagnosis of nontender, red, edematous lesions of the genital area.
Url:
DOI: 10.3315/jdcr.2014.1180
PubMed: 25324909
PubMed Central: 4195504
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first="Hanae" last="Bouzidi">Hanae Bouzidi</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Dermatology, Hassan II University Hospital, Fes, Morocco;</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>Department of Dermatology, Hassan II University Hospital, Fes</wicri:regionArea></affiliation></author><author><name sortKey="Chakiri, Radia" sort="Chakiri, Radia" uniqKey="Chakiri R" first="Radia" last="Chakiri">Radia Chakiri</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Dermatology, Hassan II University Hospital, Fes, Morocco;</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>Department of Dermatology, Hassan II University Hospital, Fes</wicri:regionArea></affiliation></author><author><name sortKey="Amraoui, Nissrine" sort="Amraoui, Nissrine" uniqKey="Amraoui N" first="Nissrine" last="Amraoui">Nissrine Amraoui</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Dermatology, Hassan II University Hospital, Fes, Morocco;</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>Department of Dermatology, Hassan II University Hospital, Fes</wicri:regionArea></affiliation></author><author><name sortKey="Krich, Sanae" sort="Krich, Sanae" uniqKey="Krich S" first="Sanae" last="Krich">Sanae Krich</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Dermatology, Hassan II University Hospital, Fes, Morocco;</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>Department of Dermatology, Hassan II University Hospital, Fes</wicri:regionArea></affiliation></author><author><name sortKey="Mernissi, Fatima Zahra" sort="Mernissi, Fatima Zahra" uniqKey="Mernissi F" first="Fatima Zahra" last="Mernissi">Fatima Zahra Mernissi</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Dermatology, Hassan II University Hospital, Fes, Morocco;</nlm:aff><country xml:lang="fr">Maroc</country><wicri:regionArea>Department of Dermatology, Hassan II University Hospital, Fes</wicri:regionArea></affiliation></author><author><name sortKey="Belmahi, Rajae" sort="Belmahi, Rajae" uniqKey="Belmahi R" first="Rajae" last="Belmahi">Rajae Belmahi</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Pediatrics, Hassan II University Hospital, Fes, Morocco.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Maroc</country><wicri:regionArea>Department of Pediatrics, Hassan II University Hospital, Fes</wicri:regionArea></affiliation></author><author><name sortKey="Hida, Moustapha" sort="Hida, Moustapha" uniqKey="Hida M" first="Moustapha" last="Hida">Moustapha Hida</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Pediatrics, Hassan II University Hospital, Fes, Morocco.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Maroc</country><wicri:regionArea>Department of Pediatrics, Hassan II University Hospital, Fes</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Dermatological Case 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Patients with vulval CD typically present with erythema and edema of the labia majora, which can progresses to extensive ulcer formation. Vulval CD can appear before or after intestinal problems or it may occur simultaneously.</p></sec><sec id="st2"><title>Observation</title><p>We present a 15-years-old girl with bilateral labial hypertrophy which revealed a Crohn’s disease. The course of her lesion was independent of the intestinal disease and responded significantly to medical treatment including Mesalamine, corticosteroid and local care.</p></sec><sec id="st3"><title>Conclusions</title><p>We emphasize that although vulval involvement in childhood is uncommon, Crohn’s disease must be considered in the differential diagnosis of nontender, red, edematous lesions of the genital area.</p></sec></div></front></TEI><pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Dermatol Case Rep</journal-id><journal-id journal-id-type="iso-abbrev">J Dermatol Case Rep</journal-id><journal-id journal-id-type="publisher-id">jdcr</journal-id><journal-title-group><journal-title>Journal of Dermatological Case Reports</journal-title></journal-title-group><issn pub-type="epub">1898-7249</issn><publisher><publisher-name>Specjalisci Dermatolodzy</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25324909</article-id><article-id pub-id-type="pmc">4195504</article-id><article-id pub-id-type="doi">10.3315/jdcr.2014.1180</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Crohn’s disease presenting as vulvar edema in a 15-year-old girl</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Bouzidi</surname><given-names>Hanae</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="corresp" rid="COR1">*</xref></contrib><contrib contrib-type="author"><name><surname>Chakiri</surname><given-names>Radia</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Amraoui</surname><given-names>Nissrine</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Krich</surname><given-names>Sanae</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Mernissi</surname><given-names>Fatima Zahra</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Belmahi</surname><given-names>Rajae</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Hida</surname><given-names>Moustapha</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Dermatology, Hassan II University Hospital, Fes, Morocco;</aff><aff id="A2"><label>2</label>Department of Pediatrics, Hassan II University Hospital, Fes, Morocco.</aff><author-notes><corresp id="COR1"><label>*</label><bold>Corresponding author:</bold> Hanae Bouzidi, Department of Dermatology, University Hospital Hassan II, Sidi Hrazem Street
30070, Fes, Morocco. E-mail: <email>bouzidi.hanae@outlook.com</email>.
</corresp></author-notes><pub-date pub-type="collection"><day>30</day><month>9</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>30</day><month>9</month><year>2014</year></pub-date><volume>8</volume><issue>3</issue><fpage>75</fpage><lpage>77</lpage><history><date date-type="received"><day>12</day><month>4</month><year>2014</year></date><date date-type="accepted"><day>20</day><month>6</month><year>2014</year></date></history><permissions><copyright-statement>Copyright: © 2014 Specjalisci Dermatolodzy</copyright-statement><copyright-year>2014</copyright-year></permissions><abstract abstract-type="executive-summary"><sec id="st1"><title>Background</title><p>Vulval involvement is an uncommon extraintestinal manifestation of Crohn’s disease, and it is very rare in children. Patients with vulval CD typically present with erythema and edema of the labia majora, which can progresses to extensive ulcer formation. Vulval CD can appear before or after intestinal problems or it may occur simultaneously.</p></sec><sec id="st2"><title>Observation</title><p>We present a 15-years-old girl with bilateral labial hypertrophy which revealed a Crohn’s disease. The course of her lesion was independent of the intestinal disease and responded significantly to medical treatment including Mesalamine, corticosteroid and local care.</p></sec><sec id="st3"><title>Conclusions</title><p>We emphasize that although vulval involvement in childhood is uncommon, Crohn’s disease must be considered in the differential diagnosis of nontender, red, edematous lesions of the genital area.</p></sec></abstract><kwd-group kwd-group-type="author"><kwd>child</kwd><kwd>diarrhea</kwd><kwd>inflammatory bowel disease</kwd><kwd>mesalamine</kwd><kwd>vulva</kwd><kwd>vulvitis</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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