SUMMARYA case of vulval Crohn's disease in childhood is presented. The presentation of this disease as a vulval lesion is well recognised, either as the initial complaint,1 or as a metastatic lesion.2–4 Crohn's disease in childhood is well recognised and up to 49% of sufferers may have perianal disease.5 Vulval Crohn's disease in children, however, is uncommon, especially when it is the presenting symptom.
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