title: Crohn's disease of the penis masquerading as pyoderma gangrenosum: a case report and review of the literature.
abstract: Both pyoderma gangrenosum (PG) and cutaneous (metastatic) Crohn's disease (CCD) may occur in the setting of inflammatory bowel disease (IBD). Clinical distinction between PG and CCD may be difficult because clinical and pathologic features often are similar. Although surgical debridement is therapeutic in CCD, it may lead to increased tissue loss and disease progression (pathergy) in PG. Thus, it is important to determine a definitive diagnosis before surgical debridement, especially in tissue-sensitive sites. We present a patient with chronic ulceration of the penis who ultimately was diagnosed with CCD following an initial misdiagnosis of PG.
authors.affiliation: Vanderbilt University, Department of Medicine (Dermatology), Nashville, Tennessee, USA.
authors.forename: Hunter H
authors.initials: HH
authors.lastname: Sams
authors.forename: Monika G
authors.initials: MG
authors.lastname: Kiripolsky
authors.forename: Alan S
authors.initials: AS
authors.lastname: Boyd
authors.forename: Lloyd E
authors.initials: LE
authors.lastname: King
mesh_terms: D003424:Crohn Disease / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010409:Penile Diseases / Q000175:diagnosis* / Q000473:pathology; D017511:Pyoderma Gangrenosum / Q000175:diagnosis