Behçet Disease with Generalized Polymorphous Cutaneous Lesions: A Case Report. Issue 3 (19th February 2020)

• Record Type: Journal Article
• Authors: Wang, Li-Wei; Luo, Ling-Ling; Zhang, Wei; Zeng, Xue-Si; Cui, Pan-Gen
• Is Part Of: International journal of dermatology and venereology. Volume 5:Issue 3(2022)
• Page Start: 175
• Page End: 177
• Publication Date: 2020-02-19
• Subjects: Behçet disease -- cutaneous lesions -- generalized lesions -- poloymorphous; Dermatology -- Periodicals; Sexually transmitted diseases -- Periodicals; 616.5
• DOI: 10.1097/JD9.0000000000000064
• Languages: English
• ISSNs: 1673-4173

Abstract

Abstract : Introduction: Behçet disease is a chronic multisystem vasculitis disease, however generalized polymorphous cutaneous lesions are uncommon. Here, we reported a case of Behçet disease with multiple parts of the body and complex lesions, which may lead to misjudging in clinical diagnosis. Case report: A 69-year-old man presented with a seven-year history of recurrent generalized polymorphous mucocutaneous lesions (erythematous papules, nodules, ulcers, and necrosis) over his entire body, and the lesions had been painful for the past three years. Based on the past medical history, clinical presentation, histological examination excluded other diseases, and the 2014-amended International Criteria for Behget disease, the patient had a score of 6 points and was diagnosed as Behçet disease. Discussion: The common clinical feature in patients with Behçet syndrome is the presence of recurrent and usually painful mucocutaneous ulcers. Other clinical manifestations of this disorder are more variable among different patients. A diagnosis of generalized polymorphous cutaneous lesions should remain on the list of differential diagnosis of Behçet disease after excluding other diseases. Conclusion: The mucocutaneous lesions of Behçet disease are often preceded by other manifestations, and timely diagnosis may benefit early treatment and prognosis.