An Unusual Case of Widespread, Pruritic Metastatic Crohn’s

Abstract

Patients suffering from Crohn’s disease often present with skin symptoms, mainly in the perianal area. We here report on a patient with widespread granulomatous skin lesions covering a large body surface. Histology findings together with the clinical presentation led to the diagnosis of “metastatic” Crohn’s disease. This case report is interesting due to the diagnostic challenges this type of skin manifestation presented. Of note, the Crohn’s disease (CD) affecting the Gastro Intestinal (GI) tract presented less severe than the skin symptoms. Extraintestinal manifestations and co-morbidities of Crohn’s disease are often challenging and require interdisciplinary management. We here describe an unusual case of metastatic Crohn’s Disease.