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The literature on the diagnosis and treatment of this condition remains sparse, given its low prevalence. Herein, we present a case of a 47-year-old female with previously known inverse psoriasis and hidradenitis suppurativa. She was experiencing painful vulvar fissures, which ultimately resulted in a diagnosis of vulvar Crohn\u2019s disease. The patient\u2019s symptoms had resolved at the most recent follow-up visit with treatment, including adalimumab 40 mg, metronidazole 500 mg, and intralesional triamcinolone acetonide injections.<\/jats:p>","DOI":"10.1177\/2050313x251350341","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T05:41:37Z","timestamp":1751866897000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Vulvar Crohn disease: A case report"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0483-2478","authenticated-orcid":false,"given":"Jason","family":"Kreutz","sequence":"first","affiliation":[{"name":"Cumming School of Medicine, University of Calgary, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5220-4379","authenticated-orcid":false,"given":"Colton","family":"Jensen","sequence":"additional","affiliation":[{"name":"Division of Dermatology, Faculty of Medicine, University of Alberta, Edmonton, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marlene","family":"Dytoc","sequence":"additional","affiliation":[{"name":"Division of Dermatology, Faculty of Medicine, University of Alberta, Edmonton, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,7]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1155\/2007\/737640"},{"key":"e_1_3_2_3_2","volume-title":"StatPearls","author":"Bernett CN","year":"2023","unstructured":"Bernett CN, Krishnamurthy K. Cutaneous Crohn disease. In: StatPearls. StatPearls Publishing, 2023."},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-022-07818-9"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1159\/000522033"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000001502"},{"issue":"1","key":"e_1_3_2_7_2","first-page":"31","article-title":"Cutaneous manifestations in inflammatory bowel disease (review)","volume":"20","author":"Ungureanu L","year":"2020","unstructured":"Ungureanu L, Cosgarea R, Alexandru Badea M, et al. Cutaneous manifestations in inflammatory bowel disease (review). Exp Ther Med 2020; 20(1): 31\u201337.","journal-title":"Exp Ther Med"},{"key":"e_1_3_2_8_2","article-title":"Cutaneous Crohn\u2019s disease of the vulva after a total colectomy and without gastrointestinal manifestations: a case report","volume":"7","author":"Bohdanowicz M","year":"2019","unstructured":"Bohdanowicz M, Ghazarian D, Rosen CF. Cutaneous Crohn\u2019s disease of the vulva after a total colectomy and without gastrointestinal manifestations: a case report. SAGE Open Med Case Rep 2019; 7: 2050313X19868390.","journal-title":"SAGE Open Med Case Rep"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijwd.2020.09.007"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.crohns.2013.10.009"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.190112"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/MEG.0000000000000879"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.14291"},{"key":"e_1_3_2_14_2","article-title":"Vulvar swelling and the timely diagnosis of Crohn\u2019s disease: a case report","volume":"9","author":"Gomolin A","year":"2021","unstructured":"Gomolin A, Zargham H, Sant\u2019Anna AM, et al. Vulvar swelling and the timely diagnosis of Crohn\u2019s disease: a case report. SAGE Open Med Case Rep 2021; 9: 2050313X211008627.","journal-title":"SAGE Open Med Case Rep"},{"issue":"7","key":"e_1_3_2_15_2","article-title":"Metastatic vulval Crohn\u2019s disease with good outcome on ustekinumab","volume":"13","author":"Lim Y","year":"2021","unstructured":"Lim Y, Singh M. Metastatic vulval Crohn\u2019s disease with good outcome on ustekinumab. Cureus. 2021; 13(7): e16252.","journal-title":"Cureus"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjv037"}],"container-title":["Sage Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X251350341","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X251350341","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X251350341","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:20:22Z","timestamp":1767676822000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X251350341"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,7]]},"references-count":15,"alternative-id":["10.1177\/2050313X251350341"],"URL":"https:\/\/doi.org\/10.1177\/2050313x251350341","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"type":"print","value":"2050-313X"},{"type":"electronic","value":"2050-313X"}],"subject":[],"published":{"date-parts":[[2025,7,7]]},"article-number":"2050313X251350341"}}