Romero Gutiérrez Marta, Alcántara Torres Mariano, Muñoz Rosas Concepción, Gómez Moreno Ana Zaida, Guardiola Arévalo Antonio, Rodríguez Merlo Rufo, Carrobles Jiménez José María
Servicio de Aparato Digestivo, Hospital Virgen de la Salud, Toledo, España.
Gastroenterol Hepatol. 2010 Jun-Jul;33(6):440-4. doi: 10.1016/j.gastrohep.2010.03.007. Epub 2010 May 27.
Metastatic Crohn's disease is a granulomatous cutaneous lesion that appears in patients with Crohn's disease and is located in any skin area, separated from the lesions in the gastrointestinal tract. This entity is characterized by its heterogeneous behavior, both in its localization and clinical expression and in its effect on patients' quality of life. Histology is essential for diagnosis and shows non-caseating granulomas. There are no treatment guidelines and various therapeutic strategies have been employed, with variable response. In most patients, treatment with biological agents is highly effective. We describe three cases of metastatic Crohn's disease with the aim of analyzing the characteristics of this entity, which should always be included in the differential diagnosis of skin lesions in patients with Crohn's disease. A literature review is also provided.
转移性克罗恩病是一种肉芽肿性皮肤病变,出现在克罗恩病患者身上,位于任何皮肤区域,与胃肠道病变相分离。该实体的特点是其行为具有异质性,无论是在定位、临床表现还是对患者生活质量的影响方面。组织学对诊断至关重要,显示非干酪样肉芽肿。目前尚无治疗指南,已采用多种治疗策略,反应不一。在大多数患者中,生物制剂治疗非常有效。我们描述了三例转移性克罗恩病病例,旨在分析该实体的特征,在克罗恩病患者皮肤病变的鉴别诊断中应始终考虑到这一特征。同时还提供了文献综述。