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Perianal inflammation

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Perianal inflammation occurs commonly in Crohn's disease. Conditions that may result from perianal inflammation include:

  • recurrent perianal abscesses
  • Crohns 'piles' - these are pale and oedematous. This is in contrast to the appearance of ordinary haemorrhoids
  • anterolateral anal fissures - usually fissures are posterior anal fissures.

Multiple anal fistulae may develop in Crohn's disease. They may be so numerous as to cause a so-called 'pepper pot perineum' or 'watering can perineum'. This complication is, paradoxically, more associated with small bowel disease than large bowel disease.

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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