Vulvar Crohn ’s disease is a rarified chassis of Crohn ’s disease . It can do kindling and irritation of the vulva , the out part of the distaff genitalia . It sometimes occurs without the characteristic gastrointestinal ( GI ) symptom of Crohn ’s disease .
Crohn ’s disease is a chronic autoimmune condition that belong to a group of disease visit inflammatory bowel disease ( IBD ) that typically affects the GI tract . It rarely affects areas outside of the GI tract .
Vulvar Crohn ’s disease is a rare dermal manifestation of the condition . Cutaneous stand for that it affects the skin . Vulvar Crohn ’s disease pass off in the hide of the vulva and can cause symptoms include pain , swelling , and lesions on and near the vulva .
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What is vulvar Crohn’s disease?
Crohn ’s diseaseis a case ofIBDthat typically do lighting , pain , and other symptoms in the GI tract . It is a chronicautoimmune condition , which means the immune organisation erroneously treats healthy tissue like harmful pathogen and attacks it . This conduce to inflammation , pain , and other symptoms .
Crohn ’s disease sometimes affects the hide , have lesions and other symptom like swelling and bother . Cutaneous involvementcan be :
Vulvar Crohn ’s disease is a cutaneous manifestation of Crohn ’s disease thatmay becontiguous , with wound at once related to the GI pamphlet , but isusuallymetastatic , with lesions separated from the GI pamphlet .
researcher do not fully translate the causes of cutaneous involvement in Crohn ’s disease . Theybelievethe symptom may be connect to changes in specific factor and shifts in intestinal flora that could lead to inflammation and lesion in the skin .
How common is vulvar Crohn’s disease?
Up to44%of people with Crohn ’s disease have skin symptoms . These can occur on the look , the hand and feet , the genitals , near the anus , and in field where skin rubs together .
However , vulvar Crohn ’s disease is a very uncommon manifestation of Crohn ’s disease , with only around300reported cases worldwide .
The real prevalence of vulvar Crohn ’s disease may be high , as health care professionals mayunderdiagnose or misdiagnosethe condition due to its low density .
Symptoms of vulvar Crohn’s disease
Skin symptoms for people with vulvar Crohn ’s disease can occur on the hide of the vulva and surrounding orbit , including the :
A somebody may experience :
Those with contiguous vulvar Crohn ’s disease may experience thecharacteristicCrohn ’s disease symptoms , which include :
However , those with metastatic vulvar Crohn ’s diseasedo notexperience the GI symptoms .
Treatment and management
Crohn ’s disease and vulvar Crohn ’s disease are chronic status that doctors can not cure . However , discussion can help a person care them .
As vulvar Crohn ’s disease is rare , treatment may be challenging . A person may necessitate treatment from a team of healthcare professional , includinggynecologists , dermatologists , andgastroenterologists .
Health master typically treat other types of adjacent Crohn ’s disease cutis lesions with surgical removal . However , doctorsoftenconsider surgery as a last refuge to deal vulvar Crohn ’s disease , as the vulvar wound oft recur after remotion .
discourse of metastatic vulvar Crohn ’s disease is alsochallenging , as there is limited information about the efficacy of various therapeutic options .
Treatment for vulvar Crohn ’s disease may include standard discussion for Crohn ’s disease , which includes medications such as :
Treatment specific to vulvar Crohn ’s disease may admit :
A mortal may desire to wear down sluttish , breathable underwear and merchantman to preclude painful rubbing . They may also require to expend blue , anti - seditious mathematical product to comfort and protect the skin and avoid intersection that contain fragrances or harsh chemicals .
Diagnosing vulvar Crohn’s disease
medico can bump it gainsay to diagnose vulvar Crohn ’s disease , as the condition is rare and its symptom are similar to those of several other conditions .
A doc may use various tests and examination to rule out other drive and diagnose the precondition . These caninclude :
Outlook
The outlook for vulvar Crohn ’s disease can reckon on several factors , including how early a person receives a diagnosis and discussion .
Without intervention , vulvar Crohn ’s disease can run to severe health complicationssuch as :
People with vulvar Crohn ’s disease may also have ahigher riskof developing malignancies , which are canceroustumors .
former discourse can better a individual ’s outlook , facilitate handle their symptom , and prevent more severe complications .
What else could it be?
The symptoms of vulvar Crohn ’s disease are similar tothose of several other conditions . Differential diagnosesincludethe followers : incitive , infective , and malignant conditions .
instigative atmospheric condition let in :
Bacterial transmission include :
Viral and fungous infections let in :
malignity let in :
When to contact a doctor
A person should touch a doctor if they get symptoms of vulvar Crohn ’s disease , such as vulvar painful sensation , swelling , and ulcers .
These symptom may indicate vulvar Crohn ’s disease or another status that call for handling , such as a different inflammatory experimental condition , contagion , or cancer .
Pain in the vulva or vagina can affect a person ’s relationship and quality of animation . Early diagnosing and treatment can also meliorate the lookout of the condition and assist preclude more grievous ramification .
Summary
Vulvar Crohn ’s disease is a rarified dermal manifestation of Crohn ’s disease . It can make swelling , pain , fissure , and other symptoms on or near the skin of the vulva .
medico may find it hard to diagnose and process vulvar Crohn ’s disease , as the consideration is very uncommon and its symptoms resemble those of many other conditions .
Treatment can involve topical and systemic medications , include TNF inhibitors and corticosteroid . There is no therapeutic , but treatment can help a person manage the condition .
