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Acute Crohn’s colitis with lobular panniculitis – metastatic Crohn’s?
Author(s) -
Yosipovitch Gil,
Hodak Emmilia,
Feinmesser Maora,
David Michael
Publication year - 2000
Publication title -
journal of the european academy of dermatology and venereology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.655
H-Index - 107
eISSN - 1468-3083
pISSN - 0926-9959
DOI - 10.1046/j.1468-3083.2000.00093.x
Subject(s) - medicine , erythema nodosum , panniculitis , crohn's disease , dermatology , erythema , colitis , pathology , gastroenterology , disease
One of the common lesions in Crohn’s colitis is erythema nodosum, a septal panniculitis that may appear before diagnosis or in conjunction with flare up. We report a case of Crohn’s colitis where the presenting sign was neutrophilic lobular panniculitis with few granulomas. The possibility that this case represents a forme fruste of metastatic Crohn’s is suggested. As skin biopsies are not usually performed by gastroenterologists in erythema nodosum‐like skin lesions in Crohn’s patients it may well be that the incidence of lobular panniculitis is higher than reported in the literature.