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1: Int J STD AIDS. 2005 Jul;16(7):512-4.Click here to read Links

Vulval Crohn's disease-- a multi-specialty approach.

Bhaduri S, Jenkinson S, Lewis F.

Department of Sexual Health, South Worcestershire Primary Care Trust, Worcestershire, UK. Sumit.Bhaduri@worcsh-wmids.nhs.uk.

We report a case of Crohn's disease where the patient initially presented with vulval ulceration to the gynaecology unit. Initial investigations were planned jointly by both the gynaecology and genitourinary medicine staff. An examination under general anaesthetic by both teams was performed and biopsies taken. These showed a chronic inflammatory process with epithelioid granulomas. The teams then referred the case to the dermatology team who made the diagnosis of vulval Crohn's disease and initiated treatment with prednisolone and azathioprine. The case illustrates the need for a multi-speciality approach when dealing with such cases.

PMID: 16004636 [PubMed - indexed for MEDLINE]

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