Vulvar Crohn's disease in an adolescent diagnosed after unsuccessful surgical treatment.

Background: This case report presents a case of Vulvar Crohn's disease (VCD) in an adolescent, that is an uncommon manifestation of Crohn's disease (CD) without gastrointestinal symptoms. Before treating CD itself with proper medication, vulvar abscess continued to recur without improvement.Case Pre...

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Publicado en:BMC Women's Health Vol. 21; no. 1; pp. 1 - 7
Autores principales: Kim, Suhra, Won, Young Bin, Seo, Seok Kyo, Cho, SiHyun, Choi, Young Sik, Lee, Byung Seok, Yun, Bo Hyon
Formato: case study Journal Article
Publicado: BioMed Central 8/28/2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 8/28/2021
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      pub: BioMed Central
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        atl: Vulvar Crohn's disease in an adolescent diagnosed after unsuccessful surgical treatment.
      aug:
        au:
          Kim, Suhra
          Won, Young Bin
          Seo, Seok Kyo
          Cho, SiHyun
          Choi, Young Sik
          Lee, Byung Seok
          Yun, Bo Hyon
        affil: Department of Obstetrics and Gynecology, Severance Hospital, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, 03722, Seoul, Republic of Korea
      sug:
        subj:
          Vulvar Diseases Surgery
          Crohn Disease Diagnosis
          Crohn Disease Drug Therapy
          Crohn Disease Complications
          Vulvar Diseases Diagnosis
          Azathioprine
          Adolescence
          Recurrence
          Female
          Adolescent: 13-18 years
          Female
      ab: Background: This case report presents a case of Vulvar Crohn's disease (VCD) in an adolescent, that is an uncommon manifestation of Crohn's disease (CD) without gastrointestinal symptoms. Before treating CD itself with proper medication, vulvar abscess continued to recur without improvement.Case Presentation: We report the case of an 18-year-old woman with VCD. After treatment with azathioprine 50 mg daily and mesalazine 1 g three times daily, vulvar lesions resolved after 6 weeks. We collected electronic medical data on patient characteristics, and evaluated findings of physical examinations, pelvic MRI, and biopsy specimen obtained from gastroduodenoscopy/colonoscopy.Conclusions: VCD is a rare manifestation of CD that may be misdiagnosed in the absence of gastrointestinal symptoms leading to delayed treatment. If a patient has an unexplained vulvar inflammatory lesion and with repeated failed surgical treatment, gynecologists should consider the possibility of a VCD.
      pubtype: Academic Journal
      doctype:
        case study
        Journal Article
      ougenre: Article
    language: English
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