SEARCHCASE_REPORTdermatology, gastroenterology

case_report·dermatology, gastroenterology, pediatric ophthalmology, pediatrics·PMC10191525

Differential Diagnosis Between Perianal Crohn’s Disease and Hidradenitis Suppurativa: A Challenging Teamwork

JPGN Reports · 6 authors, 4 centres

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TL;DR

This retrospective study from a tertiary center included 7 pediatric patients (4 with isolated perineal CD, 3 with perineal HS) to identify diagnostic criteria.

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This retrospective study from a tertiary center included 7 pediatric patients (4 with isolated perineal CD, 3 with perineal HS) to identify diagnostic criteria. Implications suggest a multidisciplinary approach using biopsy, ASCA, and specific MRI features is crucial for accurate diagnosis.

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case_report

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dermatology

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ORIGINAL PAPER

PMC10191525

Differential Diagnosis Between Perianal Crohn’s Disease and Hidradenitis Suppurativa: A Challenging Teamwork

JPGN Reports

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ABSTRACT

Abstract Hidradenitis suppurativa (HS) is a rare, debilitating skin disease characterized by the presence of recurrent tender subcutaneous nodules that develop into abscesses and fistulae. Isolated perineal Crohn’s disease (CD) is unusual, diagnosis can be difficult, and distinction from HS is a challenge for the gastroenterologist. The aim of this work was to determine the criteria that distinguish perineal CD from perineal HS. Four patients with isolated perineal CD and three with perineal HS were included. Rectal or skin biopsies of all CD patients showed granulomas. No granulomas were found for HS. Fistulae were present in 4/4 CD, extended to the anal canal. All patients with HS had gluteal abscesses. They were bilateral in all cases, superficial. Perineal lesions management should involve a multidisciplinary approach in order to make an accurate diagnosis and ultimately to give the best and most effective treatment. Keywords: Crohn’s disease, Hidradenitis suppurativa

CITATION EXPORT

Maya Amhis, K Nadia Belarbi, Emmanuelle Bourrat et al.. Differential Diagnosis Between Perianal Crohn’s Disease and Hidradenitis Suppurativa: A Challenging Teamwork. JPGN Reports. (2021). https://doi.org/10.1097/PG9.0000000000000081

AUTHORS

6 · 4 CENTRES

Maya Amhis, K Nadia Belarbi, Emmanuelle Bourrat, Aude Nassif, Jerome Viala, Christine Martinez-Vinson

From the *Gastroentérologie pédiatrique, Assistance Publique-Hôpitaux de Paris, Hôpital Robert Debré, Paris, France
†Radiologie pédiatrique, Assistance Publique-Hôpitaux de Paris, Hôpital Robert Debré, Paris, France
‡Dermatologie/pédiatrie générale, Assistance Publique-Hôpitaux de Paris, Hôpital Robert Debré, Paris, France
§Medical Center, Institut Pasteur, Paris, France.