Crohn's disease presenting as unilateral labial hypertrophy.

Werlin, S L; Esterly, N B; Oechler, H · J Am Acad Dermatol · 1992

case_report · Level V

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Abstract

We describe a child who had unilateral hypertrophy of the vulva, a rare extraintestinal manifestation of Crohn's disease. A biopsy specimen revealed a noncaseating granuloma. Flexible sigmoidoscopic examination revealed punctate 1 mm lesions with surrounding erythema in the rectum and sigmoid colon. Response to treatment with sulfasalazine was excellent. Gastrointestinal symptoms developed 1 year later when sulfasalazine was discontinued.

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