title: Crohn's disease presenting as vulvar edema in a 15-year-old girl.
abstract: BACKGROUND
  Vulval involvement is an uncommon extraintestinal manifestation of Crohn's disease, and it is very rare in children. Patients with vulval CD typically present with erythema and edema of the labia majora, which can progresses to extensive ulcer formation. Vulval CD can appear before or after intestinal problems or it may occur simultaneously.
  
  
  METHODS
  We present a 15-years-old girl with bilateral labial hypertrophy which revealed a Crohn's disease. The course of her lesion was independent of the intestinal disease and responded significantly to medical treatment including Mesalamine, corticosteroid and local care.
  
  
  CONCLUSIONS
  We emphasize that although vulval involvement in childhood is uncommon, Crohn's disease must be considered in the differential diagnosis of nontender, red, edematous lesions of the genital area.
authors.affiliation: Department of Dermatology, Hassan II University Hospital, Fes, Morocco;
authors.forename: Hanae
authors.initials: H
authors.lastname: Bouzidi
authors.affiliation: Department of Dermatology, Hassan II University Hospital, Fes, Morocco;
authors.forename: Radia
authors.initials: R
authors.lastname: Chakiri
authors.affiliation: Department of Dermatology, Hassan II University Hospital, Fes, Morocco;
authors.forename: Nissrine
authors.initials: N
authors.lastname: Amraoui
authors.affiliation: Department of Dermatology, Hassan II University Hospital, Fes, Morocco;
authors.forename: Sanae
authors.initials: S
authors.lastname: Krich
authors.affiliation: Department of Dermatology, Hassan II University Hospital, Fes, Morocco;
authors.forename: Fatima Zahra
authors.initials: FZ
authors.lastname: Mernissi
authors.affiliation: Department of Pediatrics, Hassan II University Hospital, Fes, Morocco.
authors.forename: Rajae
authors.initials: R
authors.lastname: Belmahi
authors.affiliation: Department of Pediatrics, Hassan II University Hospital, Fes, Morocco.
authors.forename: Moustapha
authors.initials: M
authors.lastname: Hida
keywords: child; diarrhea; inflammatory bowel disease; mesalamine; vulva; vulvitis