Multicentric Cutaneous Crohn's Disease: A Case Report and Review of Literature

A patient presented with skin lesions at sites not contiguous with Crohn's disease of the bowel and with specific histological features of Crohn's disease occurring two weeks from the onset of bowel symptoms. Currently a number of nonspecific skin conditions such as erythema nodosum, pyode...

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Main Authors: Robert Prokopetz, J Barrie Ross, Peter Smith, Joseph J Sidorov
Format: Article
Language:English
Published: Wiley 1990-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1990/480817
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author Robert Prokopetz
J Barrie Ross
Peter Smith
Joseph J Sidorov
author_facet Robert Prokopetz
J Barrie Ross
Peter Smith
Joseph J Sidorov
author_sort Robert Prokopetz
collection DOAJ
description A patient presented with skin lesions at sites not contiguous with Crohn's disease of the bowel and with specific histological features of Crohn's disease occurring two weeks from the onset of bowel symptoms. Currently a number of nonspecific skin conditions such as erythema nodosum, pyoderma gangrenosum and erythema multiforme are accepted as being the most common skin manifestations of Crohn's disease. It is likely, however, that specific lesions of Crohn's disease in the skin have been underdiagnosed either because of lack of biopsy or misinterpretation of the histology. Twenty-three cases with specific Crohn's disease in the skin have been recorded in the past 25 years, since the condition has been recognized. Sarcoidosis has been a common misdiagnosis. The literature relating to multicentric Crohn's disease is reviewed and attention drawn to its protean and masquerading features. An argument is made for the use of the term 'multicentric' rather than 'metastatic' in relation to cutaneous Crohn's disease.
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institution Kabale University
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series Canadian Journal of Gastroenterology
spelling doaj-art-be0851347c4146afa17e7dfa899664162025-02-03T01:03:29ZengWileyCanadian Journal of Gastroenterology0835-79001990-01-0142596310.1155/1990/480817Multicentric Cutaneous Crohn's Disease: A Case Report and Review of LiteratureRobert ProkopetzJ Barrie RossPeter SmithJoseph J SidorovA patient presented with skin lesions at sites not contiguous with Crohn's disease of the bowel and with specific histological features of Crohn's disease occurring two weeks from the onset of bowel symptoms. Currently a number of nonspecific skin conditions such as erythema nodosum, pyoderma gangrenosum and erythema multiforme are accepted as being the most common skin manifestations of Crohn's disease. It is likely, however, that specific lesions of Crohn's disease in the skin have been underdiagnosed either because of lack of biopsy or misinterpretation of the histology. Twenty-three cases with specific Crohn's disease in the skin have been recorded in the past 25 years, since the condition has been recognized. Sarcoidosis has been a common misdiagnosis. The literature relating to multicentric Crohn's disease is reviewed and attention drawn to its protean and masquerading features. An argument is made for the use of the term 'multicentric' rather than 'metastatic' in relation to cutaneous Crohn's disease.http://dx.doi.org/10.1155/1990/480817
spellingShingle Robert Prokopetz
J Barrie Ross
Peter Smith
Joseph J Sidorov
Multicentric Cutaneous Crohn's Disease: A Case Report and Review of Literature
Canadian Journal of Gastroenterology
title Multicentric Cutaneous Crohn's Disease: A Case Report and Review of Literature
title_full Multicentric Cutaneous Crohn's Disease: A Case Report and Review of Literature
title_fullStr Multicentric Cutaneous Crohn's Disease: A Case Report and Review of Literature
title_full_unstemmed Multicentric Cutaneous Crohn's Disease: A Case Report and Review of Literature
title_short Multicentric Cutaneous Crohn's Disease: A Case Report and Review of Literature
title_sort multicentric cutaneous crohn s disease a case report and review of literature
url http://dx.doi.org/10.1155/1990/480817
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AT jbarrieross multicentriccutaneouscrohnsdiseaseacasereportandreviewofliterature
AT petersmith multicentriccutaneouscrohnsdiseaseacasereportandreviewofliterature
AT josephjsidorov multicentriccutaneouscrohnsdiseaseacasereportandreviewofliterature