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Dermatologic Manifestations Associated With an Anorectal Malformation

Dermatologic Manifestations Associated With an Anorectal Malformation Abstract To the Editor.— Dermatologists are frequently confronted with cutaneous congenital disorders, but rarely are they confronted with malformations outside of their own speciality. The unusual case we report is of interest since it involves a nondermatologic malformation with a very misleading cutaneous symptomatology. Report of a Case.— A 13-year-old girl presented with erythema nodosum that had been ongoing for two weeks, buccal aphthous ulcerations, several skin ulcerations around the anus, polypoid formations suggestive of genital warts on the margin of the anus, and intermittent fever. In the vulvar area, the left labium major was swollen as in bartholinitis, and the hymen was intact. No drug therapy had been administered for four months.During childhood, the patient had suffered from recurrent urinary and vaginal infections. At 8 years of age, a mesangial IgA nephropathy was discovered. On admission, three diagnoses were considered: Crohn's disease, Behçet's disease, and child abuse, on the References 1. White JJ, Haller JA, Scott JR, et al: N-type anorectal malformations . J Pediatr Surg 1978;13:631-637.Crossref 2. Chaterjee SK, Talukder BC: Double termination of the alimentary tract in female infants . J Pediatr Surg 1969;4:237-243.Crossref 3. De Vries PA, Friedland GW: Congenital H-type anourethral fistula . Radiology 1974;113:397-407.Crossref 4. Aubert D, Gille P: La fistule anovestibulaire en H congénitale isolée . Chir Pediatr 1982;23:267-269. 5. Le duce E: Congenital rectourethral fistula: Report of case without rectal anomaly . J Urol 1965;93:272-275. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Dermatologic Manifestations Associated With an Anorectal Malformation

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Publisher
American Medical Association
Copyright
Copyright © 1987 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1987.01660340038015
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.— Dermatologists are frequently confronted with cutaneous congenital disorders, but rarely are they confronted with malformations outside of their own speciality. The unusual case we report is of interest since it involves a nondermatologic malformation with a very misleading cutaneous symptomatology. Report of a Case.— A 13-year-old girl presented with erythema nodosum that had been ongoing for two weeks, buccal aphthous ulcerations, several skin ulcerations around the anus, polypoid formations suggestive of genital warts on the margin of the anus, and intermittent fever. In the vulvar area, the left labium major was swollen as in bartholinitis, and the hymen was intact. No drug therapy had been administered for four months.During childhood, the patient had suffered from recurrent urinary and vaginal infections. At 8 years of age, a mesangial IgA nephropathy was discovered. On admission, three diagnoses were considered: Crohn's disease, Behçet's disease, and child abuse, on the References 1. White JJ, Haller JA, Scott JR, et al: N-type anorectal malformations . J Pediatr Surg 1978;13:631-637.Crossref 2. Chaterjee SK, Talukder BC: Double termination of the alimentary tract in female infants . J Pediatr Surg 1969;4:237-243.Crossref 3. De Vries PA, Friedland GW: Congenital H-type anourethral fistula . Radiology 1974;113:397-407.Crossref 4. Aubert D, Gille P: La fistule anovestibulaire en H congénitale isolée . Chir Pediatr 1982;23:267-269. 5. Le duce E: Congenital rectourethral fistula: Report of case without rectal anomaly . J Urol 1965;93:272-275.

Journal

Archives of DermatologyAmerican Medical Association

Published: Oct 1, 1987

References