Case 3

Nicolaou, Nicos; Varma, Sanskriti; Blackford, S.; Blackwell, Alice Stone

doi:10.1046/j.1365-2230.2002.01017.x

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…In fact, in some cases vulvar ulcers can occur as the presenting feature of Crohn's disease [5,6]. These abnormalities can occur with or without active intestinal disease, making for a challenging diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…Vulvar lesions can include vulvitis granulomatosa, vulval hypertrophy, pseudocondylomata, labial edema or chronic epitheloid cell granulomas. To further complicate making a correct diagnosis, these lesions can commonly be confused with other disease processes such as tuberculosis, fungal infections, lymphogranuloma venereum, acquired lymphangiectasia or sarcoidosis [5]. In addition, patients with Crohn's disease may often minimize disease manifestations because of the negative psychosocial impact, which is often accompanied by frequent diarrhea, pelvic pain and sexual problems.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

An Evaluation of Vaginal Symptoms in Women with Crohn’s Disease

2007

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There are limited data available that address the prevalence of vaginal complaints in women with Crohn's disease. This study assessed the frequency of vaginal involvement and types of vaginal symptoms in women with Crohn's disease managed at a university inflammatory bowel disease program. The charts of 50 women with Crohn's disease seen consecutively during a three-month period were reviewed for the presence of vaginal involvement. The intestinal distribution of Crohn's disease [colonic, small bowel (SB), colonic/SB] was determined, and the presence of vaginal symptoms and types of complaints were assessed. Eleven of the 50 women (22%) described vaginal symptoms. Vaginal complaints included ten patients with labial swelling and one patient with passage of stool through the vagina. Nine of the 11 women with vaginal complaints also had concurrent intestinal symptoms and perineal manifestations (P < 0.001). This study suggests that vaginal involvement in Crohn's disease may be a more frequent phenomenon than previously reported.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%