• Rev Med Interne · Jan 2022

    Case Reports

    [Metastatic Crohn's disease of the umbilicus: An exceptional location].

    • M Letzelter, C Andrianjafy, S Marin, S Rocour, L-R De Ybarlucea, and H Maillard.
    • Service de dermatologie, Centre hospitalier Le Mans, 194, avenue Rubillard, 72037 Le Mans. Electronic address: mathilde.letzelter@hotmail.fr.
    • Rev Med Interne. 2022 Jan 1; 43 (1): 54-56.

    IntroductionCutaneous manifestations of Crohn's disease are frequent and include metastatic lesions. These are separated from the digestive tract and affect particularly the limbs and major folds. Umbilical involvement is exceptional.Case ReportA 93-year-old woman followed for 6 years for Crohn's disease, in remission on infliximab, 5mg/kg every 8 weeks, consulted for a fissured and painful omphalitis. Histology revealed epithelioid granulomas without necrosis in the dermis, leading to the diagnosis of umbilical cutaneous metastasis of Crohn's disease. Infliximab intensification every 6 weeks led to a positive outcome.ConclusionWe report a unique case of umbilical metastatic localization of Crohn's disease occurring during treatment with anti-TNF alpha. The diagnosis was based on skin biopsy and histology which found epithelioid granulomas without caseous necrosis.Copyright © 2021 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.

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