PMC7473976_01
Ulcerated lesion in the perineal region, consistent with perianal Crohn's disease.
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Physical examination revealed an ulcerated lesion in the perineum and fecaloid drainage from the vagina (Figure 1).
Abscess in the region of the large left vulvar lip and perianal fistulas, consistent with perianal Crohn s disease.
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In 2017, the patient underwent surgery for treatment of the perianal lesions, along with drainage of perineal abscesses and curettage of fistulous paths (Figure 2).
Nodular and infiltrative lesions in the inguinal region consistent with hidradenitis suppurative Hurley stage III.
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A biopsy of the lesion showed epithelioid microgranulomas, which are consistent with cutaneous CD and HS (Hurley's stage III) (Figure 3).
Partial vulvectomy surgery to treat hidradenitis suppurative.
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April 2019, the patient underwent partial vulvectomy and skin graft from the hip (Figure 4).
Appearance of the vulvar region after skin grafting and wound healing.
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In July 2019, a new skin graft was performed in the vulvar area and displayed good healing (Figure 5).
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