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[Vulval oedema as the first sign of Crohn's disease--case reports]
1Department of Obstetrics and Gynecology, General Faculty Hospital, 1st Faculty of Medicine, Charles University Prague.
Insights
Vulval oedema can be a rare sign of cutaneous Crohn's disease, potentially preceding intestinal symptoms by years. This presentation can lead to diagnostic and therapeutic challenges.
Area of Science:
- Dermatology
- Gastroenterology
- Gynecology
Background:
- Vulval oedema is an uncommon presentation.
- Cutaneous manifestations of Crohn's disease can be diverse.
- Early diagnosis of Crohn's disease is crucial for effective management.
Observation:
- Three cases of vulval oedema were identified as a manifestation of cutaneous Crohn's disease.
- The vulval oedema presented as the initial or sole sign in these cases.
- Diagnostic and therapeutic errors occurred due to the unusual presentation.
Findings:
- Vulval oedema can be an early indicator of Crohn's disease, appearing years before gastrointestinal symptoms.
- Cutaneous Crohn's disease may manifest in the vulvar region.
- Delayed diagnosis can result from the atypical presentation of vulval Crohn's disease.
Implications:
- Increased awareness of vulval Crohn's disease is needed among clinicians.
- Consideration of Crohn's disease in cases of unexplained vulval oedema is recommended.
- Timely diagnosis can improve patient outcomes and prevent complications.
Objective:
To show a rare reason of vulval oedema.
Design:
Case report.
Setting:
Department of Obstetrics and Gynecology, General Faculty Hospital, 1st Faculty of Medicine, Charles University Prague.
Subject And Method:
Oedema of vulva is presented in three case reports as form of cutaneous Crohn's disease. It causes mistakes of diagnosis and therapy.
Conclusion:
Oedema of vulva as a sign of vulval Crohn's disesase can appear even several years before intestinal problems.
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