Metastasis of ulcerative colitis in peristomal skin-an extremely rare case

Extra-intestinal complications affect 20-30% of patients with Ulcerative Colitis and contribute significantly to morbidity and mortality. While some disorders parallel the activity of the colitis, other abnormalities run a clinical course independent of the bowel disease. Cutaneous manifestations are well-recognized complications, the incidence of which varies widely but, at the time of diagnosis, the mean incidence is around 10%.1-2 We present a very unusual case in which the skin around Ileostomy stoma showed features of active ulcerative colitis many years after having proctocolectomy. Key-words: Cutaneus manifestations, Ulcerative Colitis, Inflammatory bowel disease, Proctocolectomy