METASTATIC CROHNS-DISEASE

The case of a 25-yr-old female with Crohn's disease who developed recu rrent erythematous nodules on her lower extremities is described, Thes e nodules enlarged and ulcerated. Repeated bacterial, fungal, and acid -fast cultures remained negative, A skin biopsy revealed non-caseating granulomata, confirming the diagnosis of cutaneous ''metastatic'' Cro hn's disease, The lesions completely resolved with systemic corticoste roid therapy, Although cutaneous metastatic Crohn's disease is uncommo n, patients with Crohn's disease who develop unusual skin lesions that persist should have them biopsied.