METASTATIC CROHNS-DISEASE OF THE UMBILICUS

We report a case of metastatic Crohn's disease of the umbilicus which responded to topical corticosteroid treatment. Crohn's disease is a gr anulomatous disease of the bowel which may affect other organs. The sk in is commonly involved,(1) and the cutaneous manifestations be non-sp ecific, e.g. pyoderma gangrenosum or erythema nodosum,(2) or specific with epithelioid granulomas and multinucleated giant cells in the skin . Specific skin lesions may be contiguous with the bowel at sites incl uding the perineum, mouth and adjacent to fistulae, or separated from it by normal skin from the bowel, a rare condition which has been term ed 'metastatic' Crohn's disease.(3)