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Acute Crohn's colitis with lobular panniculitis--metastatic Crohn's?

Authors
  • Yosipovitch, G
  • Hodak, E
  • Feinmesser, M
  • David, M
Type
Published Article
Journal
Journal of the European Academy of Dermatology and Venereology : JEADV
Publication Date
Sep 01, 2000
Volume
14
Issue
5
Pages
405–406
Identifiers
PMID: 11305385
Source
Medline
License
Unknown

Abstract

One of the common lesions in Crohn's colitis is erythema nodosum, a septal panniculitis that may appear before diagnosis or in conjunction with flare up. We report a case of Crohn's colitis where the presenting sign was neutrophilic lobular panniculitis with few granulomas. The possibility that this case represents a forme fruste of metastatic Crohn's is suggested. As skin biopsies are not usually performed by gastroenterologists in erythema nodosum-like skin lesions in Crohn's patients it may well be that the incidence of lobular panniculitis is higher than reported in the literature.

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