Syed Taseen A, Ul Abideen Asad Zain, Salem George, Garg Kanika, Rubin Erin, Agudelo Nelson
Department of Internal Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK.
Section of Digestive Diseases & Nutrition, University of Oklahoma Health Sciences Center, Oklahoma City, OK.
ACG Case Rep J. 2018 Jan 31;5:e8. doi: 10.14309/crj.2018.8. eCollection 2018.
Dissecting cellulitis is an inflammatory disease of the skin. We report a case of recurrent dissecting cellulitis in a patient with Crohn's disease. A 31-year-old man with a history of purulent scalp lesions presented with night sweats, weight loss, abdominal pain, and hematochezia. Colonoscopy revealed a diffuse friable mucosa with extensive pseudopolyps. Scalp biopsy demonstrated epidermoid inclusion cysts with granulation tissue and chronic inflammatory cell infiltration, indicative of dissecting cellulitis. The incidence of dissecting cellulitis with Crohn's disease is underreported. This dermatologic condition has a tendency to recur, and considering an underlying disease is key for its appropriate treatment.
蜂窝织炎是一种皮肤炎症性疾病。我们报告一例克罗恩病患者复发性蜂窝织炎的病例。一名有头皮脓性病变病史的31岁男性出现盗汗、体重减轻、腹痛和便血。结肠镜检查显示弥漫性易碎黏膜伴广泛假息肉。头皮活检显示表皮样包涵囊肿伴肉芽组织和慢性炎性细胞浸润，提示蜂窝织炎。克罗恩病合并蜂窝织炎的发病率报道不足。这种皮肤病有复发倾向，考虑潜在疾病是其恰当治疗的关键。
