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Kashyap and colleagues report a case of importance which should
interest doctors in the United Kingom and might have caused less interest
in the past. I recall as a medical student in Liverpool thirty five years
ago in the professorial surgical unit being shown an unfortunate young
woman with multiple perineal fistulae which we were told was a
complication of Crohn's disease. I next saw that woman on the post mortem
slab where the diagnosis of tuberculosis was made.
No competing interests
20 April 2009
Michael G Bamber
Colsterworth Medical Practice, Colsterworth, Lincolnshire NG33 5NJ