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Leukocytoclastic Vasculitis and Myositis as Initial Manifestations of Crohn's Disease

Beatrice E Torere1, Henry O Aiwuyo2, Jennifer L Kennard3

  • 1Internal Medicine, North Mississippi Medical Center, Tupelo, USA.

Cureus
|February 1, 2023
PubMed

Insights

Crohn

Area of Science:

  • Gastroenterology
  • Rheumatology
  • Dermatology

Background:

  • Crohn's disease is a chronic inflammatory bowel disease.
  • It can present with extra-intestinal manifestations.
  • Early diagnosis is crucial for effective management.

Observation:

  • A 19-year-old male presented with non-specific gastrointestinal symptoms.
  • Initial colonoscopy was inconclusive for gastrointestinal pathology.
  • He later developed symptoms of leukocytoclastic vasculitis and myositis.

Findings:

  • Leukocytoclastic vasculitis and myositis were identified as extra-intestinal manifestations of Crohn's disease.
  • High-dose prednisolone treatment led to significant symptom improvement.
  • Gradual steroid dose tapering was implemented.

Implications:

  • This case highlights the importance of considering Crohn's disease in patients with unexplained GI symptoms and new-onset cutaneous or muscular issues.
  • Physicians should maintain a high index of suspicion for extra-intestinal manifestations.
  • Prompt diagnosis and management of Crohn's disease can prevent severe complications.

Keywords:
crohn’s disease (cd)extra-intestinal manifestations of crohn's diseaseinflammatory bowel diseaseleukocytoclastic vasculitis (lcv)myositis

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