title: Metastatic cutaneous Crohn's disease of the nipple: report of a case.
abstract: A case of cutaneous Crohn's disease involving the right breast and presenting as multiple periareolar fistulas in a 46-year-old female is reported. The lesion had initially been diagnosed and treated as a simple abscess. She had a 26-year history of Crohn's disease with numerous hospitalizations for bowel resections and control of diarrhea. Histopathologic examination following excision of the fistulas and total duct excision, however, showed well-defined granulomas containing multinucleated giant cells characteristic of extraintestinal Crohn's disease.
authors.affiliation: Department of Surgery, University of Wales College of Medicine, Heath Park, Cardiff, CF14 4XN, United Kingdom. goyala@cf.ac.uk
authors.forename: Amit
authors.initials: A
authors.lastname: Goyal
authors.forename: Robert E
authors.initials: RE
authors.lastname: Mansel
authors.forename: Howard L
authors.initials: HL
authors.lastname: Young
authors.forename: Anthony
authors.initials: A
authors.lastname: Douglas-Jones
mesh_terms: D001941:Breast Diseases / Q000209:etiology* / Q000473:pathology; D003424:Crohn Disease / Q000150:complications* / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D009558:Nipples; D012871:Skin Diseases / Q000209:etiology* / Q000473:pathology