• Rev Assoc Med Bras (1992) · Jan 2023

    Prevalence of skin lesions in a sample of Brazilian patients with inflammatory bowel disease.

    • Taciana Malosti da Silveira, Milena Kroyzanovski, Katia Sheylla Malta Purim, Odery Ramos Júnior, Thelma Skare, and Renato Nisihara.
    • Mackenzie Evangelical School of Medicine - Curitiba (PR), Brazil.
    • Rev Assoc Med Bras (1992). 2023 Jan 1; 69 (8): e20230165e20230165.

    ObjectiveInflammatory bowel diseases may have extra intestinal manifestations such as those affecting the skin. This study aimed to study skin manifestations in a cohort of Brazilian patients with inflammatory bowel diseases.MethodsEpidemiological and clinical data were obtained through a cross-sectional study of 70 inflammatory bowel diseases patients and a control group comprising 50 healthy individuals. All patients were subjected to dermatological examination and photography of skin lesions.ResultsOut of the 70 inflammatory bowel diseases patients, 50 had ulcerative colitis and 20 had Crohn's disease. Skin lesions occurred in 95.7% of the inflammatory bowel diseases patients and in 88% of individuals in the control group (p=0.001). Alopecia (p<0.0001), xerosis (p=0.03), striae (p=0.02), and acne (p=0.04) were more common in inflammatory bowel diseases patients than in the control group. Alopecia was more frequent in females (p=0.01) than in males. Two male patients, one with ulcerative colitis and the other with Crohn's disease, had pyoderma gangrenosum. Erythema nodosum was not observed in both groups.ConclusionThere was a high prevalence of skin lesions in the Brazilian inflammatory bowel diseases patients. Additionally, alopecia, xerosis, striae, and acne were more common in patients with inflammatory bowel diseases than in those in the control group.

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