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Canadian Journal of Gastroenterology
Volume 17, Issue 7, Pages 445-447
http://dx.doi.org/10.1155/2003/368754
Brief Communication

Crohn’s Disease and Cheilitis

Abdulrahman A Al-Hussaini, Helen M Machida, and J Decker Butzner

Department of Pediatrics, Alberta Children’s Hospital, Calgary, Alberta, Canada

Received 8 November 2002; Revised 12 February 2003

Copyright © 2003 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A five-year-old boy presented to his family physician with painless swelling of both lips. One year later he developed abdominal pain, nonbloody diarrhea, weight loss and joint pains. Colonoscopic examination demonstrated patchy erythema, friability and multiple aph-thous ulcers consistent with the appearance of Crohn’s colitis, and treatment with prednisone was initiated. Colonic biopsies displayed a chronic inflammatory cell infiltrate, focal cryptitis and fissure formation. The patient’s lip swelling relapsed on multiple occasions when steroids were tapered, despite minimal intestinal symptoms of Crohn’s disease. The objective of the present report is to alert physicians to this unusual presentation of Crohn’s disease and that cheilitis may run a protracted course.