title: Metastatic vulval Crohn's disease and infliximab: a case report.
abstract: BACKGROUND
  Metastatic vulval Crohn's disease is uncommon, and diagnosis is frequently delayed. Topical therapy is often ineffective, and systemic immunosuppressive agents are required.
  
  
  METHODS
  A 32-year-old Caucasian female with known gastrointestinal Crohn's disease presented with a 7-year history of vulvitis. Perianal biopsy demonstrated typical granulomas. Her disease was resistant to treatment with prednisone and azathioprine; however, infliximab effected good control, and she remains well on 8 weekly infusions 1 year later.
  
  
  CONCLUSIONS
  Biopsy should be performed in patients with vulvitis who have Crohn's disease to rule out metastatic involvement. Infliximab was successfully used in this case to control Crohn's vulvitis.
authors.affiliation: Department of Dermatology, Level 11, Royal North Shore Hospital, St. Leonards, Sydney, New South Wales 2065, Australia. stritton@med.usyd.edu.au
authors.forename: Sara M
authors.initials: SM
authors.lastname: Tritton
authors.forename: Liesel
authors.initials: L
authors.lastname: Whyte
authors.forename: Gayle
authors.initials: G
authors.lastname: Fischer
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D000911:Antibodies, Monoclonal / Q000627:therapeutic use*; D003424:Crohn Disease / Q000150:complications / Q000188:drug therapy* / Q000473:pathology; D005260:Female; D006801:Humans; D000069285:Infliximab; D014847:Vulvitis / Q000188:drug therapy* / Q000209:etiology / Q000473:pathology
chemical_list: D000893:Anti-Inflammatory Agents; D000911:Antibodies, Monoclonal; D000069285:Infliximab