Coexistence of Vulvar Crohn's Disease and Hidradenitis Suppurativa: A Diagnostic and Therapeutic Challenge

Vulvar Crohn's disease is a rare condition, reported only in clinical cases; it may complicate luminal involvement of the disease or be its only clinical manifestation. Difficult to diagnose, the most commonly described clinical presentation is edema, deep linear fissures, erythema, and painful labial ulceration. Various treatment protocols have been discussed, but no recommendations have been established. Its association with other skin disorders, such as pyoderma gangrenosum, has been reported, but the association with Verneuil’s disease has never been published. We report the case of a 45-year-old woman diagnosed with isolated vulvar Crohn's disease after two years of suffering, associated with axillary hidradenitis suppurativa (HS).