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