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Vulvar inflammation: a presentation of Crohn's disease
  1. Carla Ferreira1,
  2. Joana Soares2,
  3. Tiago Maia3,
  4. Joana Pardal3,
  5. Ana Nogueira4,
  6. Marta Tavares5,
  7. Eunice Trindade5,
  8. Jorge Amil Dias5
  1. 1Pediatric Department, Hospital Sra. Oliveira—Guimarães, Guimarães, Portugal
  2. 2Pediatric Department, Centro Hospitalar de Trás-os-montes e Alto Douro, Vila Real, Portugal
  3. 3Anatomical Pathology Department, Centro Hospitalar de São João, Porto, Portugal
  4. 4Dermatology Department, Centro Hospitalar de São João, Porto, Portugal
  5. 5Pediatric Gastroenterology Unit, Centro Hospitalar de São João, Porto, Portugal
  1. Correspondence to Dr Carla Ferreira, Pediatric Department, Hospital Sra. Oliveira—Guimarães, Rua Professor Ilidio Lopes de Matos, entrada 33. 1° esq, Caldas das Taipas, Guimarães 4805-120, Portugal; carlamf85{at}hotmail.com

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An otherwise healthy 13-year-old girl presented with a 6-week history of painless vulvar swelling and erythema which was previously treated with topical corticosteroids and antifungals without improvement. There was no history of trauma or sexual abuse, and the physical examination revealed an asymmetric vulvar swelling and erythema of the right labia (figure 1). Laboratory work-up was normal, except for a raised faecal calprotectin level of 628 µg/g …

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