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International Journal of Otolaryngology
Volume 2009 (2009), Article ID 871567, 3 pages
http://dx.doi.org/10.1155/2009/871567
Case Report

Metastatic Crohn's Disease of the Ear

1Department of Otolaryngology and Head and Neck Surgery, Worcestershire Royal Hospital, Worcester WR5 1DD, UK
2Department of Pathology, Worcestershire Royal Hospital, Worcester WR5 1DD, UK

Received 28 September 2008; Accepted 3 February 2009

Academic Editor: Ted Tewfik

Copyright © 2009 J. H. Chuah et al. 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

Objective. We reported a very rare case of metastatic Crohn's disease involving the retro-auricular region. Method. A case report and a review of literature concerning metastatic Crohn's disease. Results. Metastatic Crohn's disease is an uncommon extraintestinal cutaneous manifestation of Crohn's disease and a very rare case involving the retro-auricular region is reported here. Given the limited existing literature little is known about this condition. The skin lesions appear to have a predilection for the lower trunk and genitalia regions. There is no clear association with the severity of Crohn's disease and in some cases, the cutaneous lesions predate the onset of gastrointestinal Crohn's disease. Treatment with immune-modulating medications together with the antitumour necrosis factor monoclonal antibody therapy appears to offer the best chance of remission. Conclusion. By reporting this interesting and rare condition we also hope to highlight the importance of considering underlying chronic systemic disorders, such as Crohn's disease, when presented with skin lesions resistant to simple local treatments.