Army Medical Department or the U. Perianal disease is the initial sign of Crohn's disease in approximately 20 to 36 percent of persons and can precede active intestinal disease by months to years. E-mail submissions to afpphoto aafp. Reprints are not available from the author. Based on the patient's history and physical examination, which one of the following is the most likely diagnosis?
Anika. Age: 26.
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Julie. Age: 25.
Anal destruction - no mercy
Maculopapular rash, positive results on rapid plasma reagin and Venereal Disease Research Laboratories testing. Want to use this article elsewhere? Epidemiology of inflammatory bowel disease. Rapid plasma reagin and Venereal Disease Research Laboratories test results are usually positive. After several months of conservative treatment with sitz baths, stool softeners, and increased fluid intake, the fissure had not healed. More in Pubmed Citation Related Articles.