Chronic granulomatous otitis externa as an initial presentation of cutaneous Crohn disease.

Journal Article (Journal Article)

IMPORTANCE: In the limited number of Crohn disease cases involving the head and neck, there is a predilection for mucosal surfaces and rare reports of involvement in the postauricular region. To our knowledge, in all previously reported cases involving the head and neck, the patients had a known diagnosis of Crohn disease. OBSERVATIONS: This case describes a 10-year-old boy with a history of psoriasis and psoriasiform dermatitis who presented with bilateral chronic granulomatous otitis externa, obliteration of the external auditory canal, and fissuring, resulting in separation of the lobule from the preauricular skin. CONCLUSIONS AND RELEVANCE: Pathologic examination results were consistent with granulomatous dermatitis concerning for cutaneous Crohn disease, and a subsequent gastroenterologic workup confirmed the diagnosis of Crohn disease. This is a report of chronic granulomatous otitis as the initial presentation of cutaneous Crohn disease in a child.

Full Text

Duke Authors

Cited Authors

  • Raynor, EM

Published Date

  • August 2014

Published In

Volume / Issue

  • 140 / 8

Start / End Page

  • 765 - 767

PubMed ID

  • 25033289

Electronic International Standard Serial Number (EISSN)

  • 2168-619X

Digital Object Identifier (DOI)

  • 10.1001/jamaoto.2014.1211


  • eng

Conference Location

  • United States