CROHN'S DISEASE WITH PYODERMA GANGRENOSUM IN A PATIENT IN NORTHERN NIGERIA: A CASE REPORT.

Manko M, Mohammed M. F, Bello A.K, Egbegbedia P, Sambo S.A, Osanyibofu E, Umar A., Shehu A, Suleiman D. E, Mustapha S. K

Available online Apr 29, 2020.

[ Report ] Volume 29, Issue 1, 2020, Pages 169-171


Abstract

Background: Crohn's disease is a major form of inflammatory bowel disease that can present with extra-intestinal manifestations. We report a case of Crohn's disease with pyodermagangrenosum in a Nigerian patient. The report is to alert physicians in our setting on the occurrence of this rare presentation.

Case presentation: The patient presented with chronic bloody and mucoiddiarrhoea with associated weight loss and fever of one-year duration. There was also history of mouth rashes, anal pain and itching. One month prior to presentation, he developed leg ulcer. Colonoscopy showed multiple ulcerations with normal intervening mucosa. Colonic mucosal histology showed focal area of ulceration with extensive inflammatory infiltrate in the lamina propia a nd submucosa. The patient'ssymptoms improved after the commencement of sulfasalazine.

Conclusion: Crohn's disease should be suspected in a patient with chronic leg ulcer.


Keywords

Crohn disease, mucoiddiarrhoea, ulcer,

JANUARY - MARCH 2020

Volume 29 | Issue 1

Page Nos. 169-171

Online since Jan 28, 2020

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