Chronic granulomatous otitis externa as an initial presentation of cutaneous Crohn disease.
JAMA Otolaryngol Head Neck Surg
; 140(8): 765-7, 2014 Aug.
Article
em En
| MEDLINE
| ID: mdl-25033289
ABSTRACT
IMPORTANCE In the limited number of Crohn disease cases involving the head and neck, there is a predilection for mucosal surfaces and rare reports of involvement in the postauricular region. To our knowledge, in all previously reported cases involving the head and neck, the patients had a known diagnosis of Crohn disease. OBSERVATIONS This case describes a 10-year-old boy with a history of psoriasis and psoriasiform dermatitis who presented with bilateral chronic granulomatous otitis externa, obliteration of the external auditory canal, and fissuring, resulting in separation of the lobule from the preauricular skin. CONCLUSIONS AND RELEVANCE Pathologic examination results were consistent with granulomatous dermatitis concerning for cutaneous Crohn disease, and a subsequent gastroenterologic workup confirmed the diagnosis of Crohn disease. This is a report of chronic granulomatous otitis as the initial presentation of cutaneous Crohn disease in a child.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Otite Externa
/
Dermatopatias
/
Doença de Crohn
/
Granuloma
Tipo de estudo:
Etiology_studies
Limite:
Child
/
Humans
/
Male
Idioma:
En
Revista:
JAMA Otolaryngol Head Neck Surg
Ano de publicação:
2014
Tipo de documento:
Article