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  • Title: Acute Crohn's colitis with lobular panniculitis--metastatic Crohn's?
    Author: Yosipovitch G, Hodak E, Feinmesser M, David M.
    Journal: J Eur Acad Dermatol Venereol; 2000 Sep; 14(5):405-6. PubMed ID: 11305385.
    Abstract:
    One of the common lesions in Crohn's colitis is erythema nodosum, a septal panniculitis that may appear before diagnosis or in conjunction with flare up. We report a case of Crohn's colitis where the presenting sign was neutrophilic lobular panniculitis with few granulomas. The possibility that this case represents a forme fruste of metastatic Crohn's is suggested. As skin biopsies are not usually performed by gastroenterologists in erythema nodosum-like skin lesions in Crohn's patients it may well be that the incidence of lobular panniculitis is higher than reported in the literature.
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