Dermatologic manifestations in inflammatory bowel disease in Tunisia
Tunisie Medicale [La]. 2012; 90 (3): 252-257
in English
| IMEMR
| ID: emr-146096
ABSTRACT
Cutaneous manifestations are the most common extra intestinal manifestations associated with inflammatory bowel disease [IBD]. To assess the epidemio-clinical profile of skin manifestations in IBD. A prospective and descriptive study was conducted. We have examined skin, mucosa, hair and nails, of all patients with an IBD during one year. One hundred-ninety-five patients were included. Crohn's disease [CD] was noted in 154 cases [79.8%], ulcerous rectocolitis [UC] in 39 cases [21.2%] and inclassable IBD in 2 cases. Cutaneous manifestations were found in 91% of Crohn's patients and in 92% of UC patients. Granulomatous perianal skin lesions were the main cutaneous manifestations of CD [53%]. The most common affected sites were ano-perineal fistulae, perianal and perineal fissures and oedematous and infiltrated perianal and genital plaques. Reactive lesions [Erythema nodosum, Pyoderma gangrenosum, Aphthous stomatitis] were noted in 14 cases. Skin manifestations due to malabsorption were also frequently observed [101 cases 51.7%].Other dermatoses implicating various mechanisms such as psoriasis, alopecia areata, vitiligo, rosacea, lichen planus, were also noted. Adverse skin manifestations due to treatment [folliculitis, acne, macula-papular rash and DRESS syndrome] were present in 16 cases. Our series is characterized by a high frequency of cutaneous manifestations associated to IBD. A better recognition of these skin manifestations by the physician may improve their management
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Skin Diseases
/
Stomatitis, Aphthous
/
Crohn Disease
/
Prospective Studies
/
Pyoderma Gangrenosum
/
Erythema Nodosum
/
Malabsorption Syndromes
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Tunisie Med.
Year:
2012
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