Crohn’s disease: Another unusual manifestation responded to metronidazole

Cutaneous involvement is a well-recognized manifestation of Crohn’s disease. The incidence of these manifestations varies widely and occur in 14–40% of patients with Crohn’s disease. These can be either metastatic, contiguous or reactive. Cutaneous Crohn’s disease, also known as metastatic Crohn’s disease, refers to noncaseating cutaneous granulomatous lesions that are not contiguous with intestinal Crohn’s disease. This clinical presentation is rare, especially in children. We report a case of metastatic Crohn’s disease manifesting as scrotal swelling and eczematous eruption over genitalia and around anus in a 6 years old boy which dramatically responded to Metronidazole.