title: An unusual case of Crohn's disease in a West Indian child.
abstract: Although perianal ulceration is common in Crohn's disease, extensive perineal ulceration particularly in children is rare. The case history is presented of a child who developed progressive hypertrophy of the vulva and ulceration of the groins at the age of 11 years but diagnosis of Crohn' s disease was delayed for 21 months. Treatment with steroids and azathioprine has induced a successful remission but difficulty has been experienced in reducing the steroid dosage.
mesh_terms: D000293:Adolescent; D001379:Azathioprine / Q000627:therapeutic use; D002648:Child; D003424:Crohn Disease / Q000150:complications / Q000188:drug therapy; D005260:Female; D006801:Humans; D006984:Hypertrophy; D010502:Perineum; D011239:Prednisolone / Q000627:therapeutic use; D012883:Skin Ulcer / Q000150:complications / Q000188:drug therapy / Q000209:etiology*
chemical_list: D011239:Prednisolone; D001379:Azathioprine