title: Chronic linear ulcerations of the inguino-crural and buttocks folds.
abstract: Vulvo-perineal Crohn's disease is a rare condition either when it is isolated or associated with digestive manifestations. In the former condition named metastatic Crohn's disease, it may constitute a diagnostic challenge and may be confused especially with other infectious or inflammatory disorders. We report a case of vulvo-perineal Crohn's disease in a 46-year-old woman. A 46-year-old woman was diagnosed with a vulvo-perineal Crohn's disease without digestive involvement. There was a chronic edema of the vulva with linear ulcerations on the inguino-crural regions and the buttocks fold, of 3 years. Treatment with metronidazole (1 g/day for 6 months) led to almost complete healing of the ulcerations with a sustained result. Physicians must be aware of the diverse manifestations and confusing presentations of vulvo-perineal Crohn's disease.
authors.affiliation: Department of Dermatology,Charles Nicolle Hospital - Tunis, Tunisia.
authors.forename: Aida
authors.initials: A
authors.lastname: Khaled
authors.forename: Nadia
authors.initials: N
authors.lastname: Ezzine-Sebai
authors.forename: Becima
authors.initials: B
authors.lastname: Fazaa
authors.forename: Faten
authors.initials: F
authors.lastname: Zeglaoui
authors.forename: Rachida
authors.initials: R
authors.lastname: Zermani
authors.forename: Mohamed Ridha
authors.initials: MR
authors.lastname: Kamoun