title: Vulvar inflammation as the only clinical manifestation of Crohn disease in an 8-year-old girl.
abstract: Recognition of Crohn disease in children who present with cutaneous vulvar lesions as their initial clinical manifestation is often difficult. We report here the case of an 8-year-old girl with chronic vulvar edema, which on biopsy revealed granulomatous inflammation of the vulva. Further investigation and biopsy of the terminal ileum demonstrated similar findings and was consistent with a diagnosis of Crohn disease.
authors.affiliation: Department of Pediatrics, Hospital for Sick Children, 555 University Ave, Toronto, ON, Canada M5G 1X8.
authors.forename: Shannon L
authors.initials: SL
authors.lastname: Corbett
authors.forename: Catharine M
authors.initials: CM
authors.lastname: Walsh
authors.forename: Rachel F
authors.initials: RF
authors.lastname: Spitzer
authors.forename: Bo-Yee
authors.initials: BY
authors.lastname: Ngan
authors.forename: Sari
authors.initials: S
authors.lastname: Kives
authors.forename: Mary
authors.initials: M
authors.lastname: Zachos
mesh_terms: D002648:Child; D002908:Chronic Disease; D002987:Clitoris / Q000473:pathology; D003424:Crohn Disease / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D004487:Edema / Q000209:etiology* / Q000473:pathology; D005260:Female; D006099:Granuloma / Q000473:pathology; D006801:Humans; D007082:Ileum / Q000473:pathology; D014845:Vulvar Diseases / Q000209:etiology* / Q000473:pathology