Vulvar Crohn disease: Diagnostic challenges and approach to therapy.

Int J Womens Dermatol

Department of Dermatology, University of Wisconsin, School of Medicine and Public Health, Madison, WI, United States.

Published: December 2020

Crohn disease (CD) may be complicated by contiguous, metastatic, or associated inflammatory cutaneous lesions. Vulvar CD is a rare phenomenon characterized by granulomatous genital inflammation that occurs independently from fistulizing CD. Left untreated, vulvar CD can result in debilitating lymphedema, disfiguring anatomic changes, secondary abscesses, cellulitis, and squamous cell carcinoma. We present a series of cases to highlight the clinical presentation of vulvar CD, the diagnostic testing required to distinguish complicating conditions, the asynchronous courses of skin and intestinal disease, and the complexities in the management of this disease and associated conditions. We review our multidisciplinary approach to care, aimed at reducing morbidity and improving patient quality of life.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8060678PMC
http://dx.doi.org/10.1016/j.ijwd.2020.09.007DOI Listing

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