October 2008

Fig.1

History: 83 year old Caucasian female presented with one year of persistent induration, pruritis and drainage in the perianal area. (Figure 1)

PMH: Distant history of Crohn’s disease

Labs: bacterial culture and gram stain: mixed microorganisms; WBC: 10K, Hgb 10.1g/dl; Hct 30.0%; plts 335

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