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Vulvar swelling as the first presentation of Crohn's disease in children—A report of three cases
Authors:Tashmeeta Ahad MA    BMBCh  MRCP  Anna Riley MBBS  Elizabeth Martindale FRCOG  Beate von Bremen State Exam Med    Hamburg  Caroline Owen MBChB  FRCP
Affiliation:1. Department of Dermatology Salford Royal National Health Service Foundation Trust, Salford, UK;2. The Rothbury Practice, Rothbury, Northumberland, UK;3. Department of Paediatrics, East Lancashire Hospitals Trust, UK;4. Department of Obstetrics and Gynaecology, East Lancashire Hospitals Trust, UK;5. Department of Dermatology, East Lancashire Hospitals Trust, UK
Abstract:Vulvar swelling is a rare manifestation of metastatic Crohn's disease in children. It often predates gastrointestinal symptoms and can be the first presentation of pediatric Crohn's disease. We report three cases of pediatric Crohn's disease presenting with vulvar swelling. We discuss this rare presentation and its treatment and highlight the importance of recognizing it so that prompt investigation and appropriate management can be initiated.
Keywords:dermatopathology  skin signs of systemic disease
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