A 13-year-old boy presented with a 9-month history of unilateral swelling of the face and oral pain. He also reported loose and nonbloody stools. Physical Examination Asymmetric swelling of the face and lips with fissuring. Intraoral examination showed gingival erythematous hyperplasia and epulis fissuratum (panel B). The pediatric gastroenterologist found to have tenderness in the right lower quadrant and periumbilical region and painless rectal skin tags.
Colonic biopsies showed chronic active colitis, confirming Crohn's disease. In your opinions, is this an oral manifestation of Crohn’s Disease? *This case is from Docplexus editorial team for educative purpose only. Source: NEJM Stay Connected, the answer will be posted in the next 48h!
