CROHNS-DISEASE OF THE VULVA

Introduction. There are many skin manifestations of Crohn's disease in cluding specific lesions occurring late after digestive signs. These m anifestations are also termed metastatic and are rarely located on the vulva. Case report : We observed a metastatic localization in the vul va of Crohn's disease in a 34-year-old woman with predominantly rectos igmoid disease. The right labia major was greatly enlarged with oedema involving the inguinal cural area. Pustulization and erosive lesions were seen. The course of these lesions was independent of the colonic disease and responded temporarily only to a triple drug combination of metronidazol, prednisolone and minocyclin. Conclusion. This case emph asizes the frequency of colonic or rectal manifestations associated wi th vulval involvement in Crohn's disease. The metastatic lesions follo w a course independent of the digestive disease raising therapeutic pr oblems in this localization.