Acute Crohn's colitis with lobular panniculitis--metastatic Crohn's?
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.
Yosipovitch
G
G
Department of Dermatology, Rabin Medical Center, Petah Tiqva, Israel. gil@nsc.gov.sg
Hodak
E
E
Feinmesser
M
M
David
M
M
D000368:Aged; D003424:Crohn Disease / Q000150:complications*; D004893:Erythema Nodosum / Q000175:diagnosis / Q000209:etiology; D005260:Female; D006801:Humans; D015434:Panniculitis / Q000209:etiology* / Q000473:pathology; D012871:Skin Diseases / Q000209:etiology* / Q000473:pathology