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Perianal Skin Tags Revealing Asymptomatic Crohn's Disease in a 12-Year-Old Child With Growth Impairment: A Case
Olga Bellou1, Dimosthenis Chrysikos2, Ourania Schoinohoriti3
12nd Department of General Surgery, KAT General Hospital of Athens, Athens, GRC.
Insights
Pediatric Crohn's disease (CD) can impact child growth and present with perianal symptoms. Early diagnosis through clinical examination is key for managing this inflammatory bowel disease.
Area of Science:
- Pediatric Gastroenterology
- General Surgery
- Inflammatory Bowel Disease Research
Background:
- Pediatric Crohn's disease (CD) is a chronic inflammatory condition affecting children and adolescents.
- CD can significantly impair growth and development in pediatric patients.
- Perianal manifestations are common in pediatric CD, requiring surgical consideration.
Observation:
- A 12-year-old girl presented with perianal skin tags and impaired growth.
- The patient's Crohn's disease was asymptomatic at the time of initial presentation.
- These findings were the first indicators of underlying pediatric CD.
Findings:
- Perianal skin tags and growth impairment can be early signs of pediatric Crohn's disease.
- Clinical examination and detailed history are crucial for diagnosing CD-related perianal lesions.
- Surgical intervention for perianal lesions in pediatric CD requires careful patient selection due to risks of poor healing and recurrence.
Implications:
- Highlights the importance of general surgeons in the early diagnosis of pediatric Crohn's disease.
- Emphasizes that seemingly minor perianal issues in children may indicate serious underlying conditions.
- Suggests a need for heightened awareness of growth impairment as a potential symptom of pediatric CD.
Abstract:
Pediatric Crohn's disease (CD) is a chronic inflammatory bowel disease considered to impair the growth of children and adolescents. Since CD commonly presents perianal manifestations, general surgeons may play a crucial role in its diagnosis and treatment. Detailed history, along with a thorough clinical examination, is mandatory for the management of CD perianal lesions. However, surgical intervention is only indicated in selected patients since it may lead to poor wound healing and recurrence. The article reports a case of a 12-year-old girl, presenting perianal skin tags and growth impairment as the first signs of asymptomatic CD.
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