In acute inflammatory bowel disease, which perianal finding is commonly observed?

In acute inflammatory bowel disease, which perianal finding is commonly observed?

• A. Anorectal excoriation
• B. Anal fissure
• C. Hemorrhoids
• D. Fistula

Answer: (A)

Moisture and irritation of the perianal skin during an acute flare cause dermatitis that shows up as anorectal excoriation. In active inflammatory bowel disease, frequent, loose stools and possible rectal discharge keep the skin around the anus continuously wet and irritated, leading to superficial skin breakdown. This perianal dermatitis is a common finding in the acute phase. Fissures, fistulas, and hemorrhoids can occur, especially with Crohn’s disease or chronic changes, but they are not as consistently seen during an acute flare as skin excoriation around the anal area.