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多种皮肤和黏膜病变表现为假性贝赫切特病。

Multiple cutaneous and mucocutaneous lesions as manifestations of pseudo-Behçet's disease.

机构信息

Dermatology, All India Institute of Medical Sciences, Nagpur, Maharashtra, India

Dermatology, All India Institute of Medical Sciences, Nagpur, Maharashtra, India.

出版信息

BMJ Case Rep. 2023 Jun 9;16(6):e255669. doi: 10.1136/bcr-2023-255669.

Abstract

Pseudo-Behçet's disease (PBD) is a close clinical mimicker of Behçet's disease (BD) which can present with orogenital ulceration and uveitis. However, these manifestations in PBD are associated with occult tuberculosis. Sometimes, diagnosis of PBD is established retrospectively when the lesions respond to anti-tubercular therapy (ATT). We here describe a case who presented with a penile ulcer, initially suspected to be a sexually transmitted infection, but was later diagnosed as PBD and resulted in complete healing with ATT. Knowledge about this condition is essential to prevent misdiagnosis as BD and unnecessary treatment with systemic corticosteroids, which can lead to worsening of tuberculosis.

摘要

类贝赫切特病(PBD)是贝赫切特病(BD)的一种密切临床类似物,可表现为口腔或生殖器溃疡和葡萄膜炎。然而,PBD 中的这些表现与隐匿性结核病有关。有时,当病变对抗结核治疗(ATT)有反应时,PBD 的诊断是回顾性建立的。我们在此描述了一例患者,其表现为阴茎溃疡,最初怀疑为性传播感染,但后来被诊断为 PBD,并用 ATT 完全治愈。了解这种情况对于避免误诊为 BD 和不必要的全身皮质类固醇治疗至关重要,因为这可能导致结核病恶化。

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