Indian Journal of Dermatology
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Year : 2011  |  Volume : 56  |  Issue : 1  |  Page : 101-103

Chronic linear ulcerations of the inguino-crural and buttocks folds

1 Department of Dermatology,Charles Nicolle Hospital - Tunis, Tunisia
2 Department of pathology, Charles Nicolle Hospital - Tunis, Tunisia

Correspondence Address:
Aida Khaled
Boulevard 9 Avril Tunis- 1006
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5154.77568

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Vulvo-perineal Crohn's disease is a rare condition either when it is isolated or associated with digestive manifestations. In the former condition named metastatic Crohn's disease, it may constitute a diagnostic challenge and may be confused especially with other infectious or inflammatory disorders. We report a case of vulvo-perineal Crohn's disease in a 46-year-old woman. A 46-year-old woman was diagnosed with a vulvo-perineal Crohn's disease without digestive involvement. There was a chronic edema of the vulva with linear ulcerations on the inguino-crural regions and the buttocks fold, of 3 years. Treatment with metronidazole (1 g/day for 6 months) led to almost complete healing of the ulcerations with a sustained result. Physicians must be aware of the diverse manifestations and confusing presentations of vulvo-perineal Crohn's disease.

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