Manipal Journal of Medical Sciences


Crohn’s disease (CD) is a chronic inflammatory bowel disease (IBD) commonly associated with extraintestinal manifestations such as arthritis, uveitis, deep venous thrombosis and erythema nodosum. Asymmetrical labial swelling and edema are the most common presentations of genital CD in females. Vulval CD can appear before or after gastrointestinal (GI) CD or it may occur simultaneously with an independent course of disease and response to treatment. Here we discuss an atypical case of metastatic vulvar CD presenting as perineal and perianal ulcers and erosions successfully treated with oral doxycycline and topical corticosteroids hence making it an exciting new treatment avenue to further explore.