Metastatic Crohn's disease is a rare inflammatory condition characteri
sed by cutaneous granulomatous lesions separated from the affected bow
el by normal intact skin. Involvement of the genitalia in Crohn's dise
ase is rare and consists of ulcerated lesions in almost all of the cas
es reported in the literature. We describe a case of penile involvemen
t in a 27 year old man with a 5 year history of Crohn's disease. Shoul
d genital involvement precede the bowel disease, patients may consult
the sexually transmitted disease service for this problem and the derm
atovenereologists may be the first to formulate the diagnosis.