[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.159.202.12. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
October 1993

Metastatic Crohn's Disease of the Face: An Uncommon Presentation

Author Affiliations

Department of Dermatology University of Michigan Medical Center 1910 Taubman Center Ann Arbor, MI 48109-0314

Arch Dermatol. 1993;129(10):1348-1349. doi:10.1001/archderm.1993.01680310120030
Abstract

We report an unusual case of biopsy-proven orofacial Crohn's disease presenting as cutaneous malar plaques with almost a complete resolution with sulfasalazine treatment. Cases of metastatic disease presenting as malar plaques have been described in the North American literature, and all have had a poor response to treatment. Although this is not a newly described disease, this unusual presentation highlights the importance of Crohn's disease as a consideration in the differential diagnosis of facial plaques.

Report of a Case.  A 44-year-old woman presented by referral with a 14-month history of an erythematous facial eruption and intermittent lip swelling. The patient had a long-standing history of regional enteritis since the age of 20 years. A perioral biopsy specimen revealed multiple noncaseating granulomas thought to represent sarcoid. Treatment with intravenous and oral antibiotics produced partial clearance of the crusting, but the erythematous plaques, lip swelling, and pustulonodular lesions persisted. Isotretinoin therapy was

First Page Preview View Large
First page PDF preview
First page PDF preview
×