Case Presentation: A 12-year-old female was seen at her pediatrician’s office for a history of weight loss, fatigue, and cold intolerance. Review of systems was significant for decreased appetite, rash, secondary amenorrhea and the absence of abdominal pain, diarrhea, and sexual activity. Physical examination showed a cachectic female with flat affect, non-tender abdomen, and truncal rash. An external genital examination revealed vaginal ulcerations and malodorous yellow vaginal discharge. She was admitted for further evaluation of weight loss and clinical findings. She was empirically started …

Metastatic Crohn's disease in a 12-year-old girl led to a surprising diagnosis of weight loss, fatigue, and cold intolerance, with a need for urgent treatment.

An Abnormal Finding Leads to a Surprising Diagnosis (this Is a Case Report of Metastatic Crohn's Disease)

Key Takeaway: Metastatic Crohn's disease in a 12-year-old girl led to a surprising diagnosis of weight loss, fatigue, and cold intolerance, with a need for urgent treatment.