Panos George, Kakoullis Loukas, Louppides Stylianos, Emmanuil Andreas
Infectious Diseases Section, University General Hospital of Patras, Patras, Achaia, Greece
Internal Medicine, University Cyprus School of Medicine, Nicosia, Cyprus.
BMJ Case Rep. 2020 Feb 26;13(2):e229527. doi: 10.1136/bcr-2019-229527.
We report a case of Behçet's disease in a 9-year-old boy from Greece, presenting with a history of recurrent ulceration of the oral cavity. Following inspection of the oral cavity, which revealed lesions on both the upper and lower labial mucosa, as well as a large ulcer on the apex of the tongue, the diagnosis of Behçet's disease was immediately suspected. The diagnosis was confirmed using the International Criteria for Behçet's Disease. Nevertheless, as multiple diseases can cause recurrent oral aphthosis, an extensive differential diagnosis was made, and pertinent tests were undertaken to exclude other causes of oral ulceration. The approach to a patient with Behçet's disease, as well as its various clinical presentations and complications, is discussed.
我们报告了一例来自希腊的9岁男孩患白塞病的病例,该男孩有复发性口腔溃疡病史。检查口腔时发现上、下唇黏膜均有病变,舌尖还有一个大溃疡,于是立即怀疑为白塞病。使用白塞病国际标准确诊了该病例。然而,由于多种疾病均可导致复发性口腔溃疡,因此进行了广泛的鉴别诊断,并开展了相关检查以排除口腔溃疡的其他病因。本文讨论了白塞病患者的诊疗方法及其各种临床表现和并发症。