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[Ulcerations of the extremities: An unusual manifestation of Behçet's disease].

Authors
  • Mejri, M1
  • Said, F2
  • Khanfir, M3
  • Chelly, I4
  • Haouet, S5
  • Habib, H6
  • 1 Service de médecine interne, La rabta-Faculté de médecine de Tunis, université Tunis Manar, centre hospitalo-universitaire, Tunis, Tunisie. Electronic address: [email protected]
  • 2 Service de médecine interne, La rabta-Faculté de médecine de Tunis, université Tunis Manar, centre hospitalo-universitaire, Tunis, Tunisie. Electronic address: [email protected]
  • 3 Service de médecine interne, La rabta-Faculté de médecine de Tunis, université Tunis Manar, centre hospitalo-universitaire, Tunis, Tunisie. Electronic address: [email protected]
  • 4 Service d'anatomie pathologique, La Rabta-faculté de médecine de Tunis, université Tunis Manar, centre hospitalo-universitaire, Tunis, Tunisie. Electronic address: [email protected]
  • 5 Service d'anatomie pathologique, La Rabta-faculté de médecine de Tunis, université Tunis Manar, centre hospitalo-universitaire, Tunis, Tunisie. Electronic address: [email protected]
  • 6 Service de médecine interne, La rabta-Faculté de médecine de Tunis, université Tunis Manar, centre hospitalo-universitaire, Tunis, Tunisie. Electronic address: [email protected]
Type
Published Article
Journal
La Revue de medecine interne
Publication Date
Feb 01, 2019
Volume
40
Issue
2
Pages
117–119
Identifiers
DOI: 10.1016/j.revmed.2018.07.016
PMID: 30193781
Source
Medline
Keywords
Language
French
License
Unknown

Abstract

Although cutaneous and mucosal involvement is a major manifestation in Behçet's disease, ulcerated lesions of the extremities are exceptional and poorly known. A 57-year-old male patient was diagnosed 7 years ago with Behçet's disease. This diagnosis was made in the presence of recurrent bipolar aphtous ulcers, pseudofolliculitis lesions and retinal vasculitis. After having been lost to follow up for two years, during which his treatment was discontinued, he presented centimetric necrotic ulcerations of the fingers of the hand and of the right big toe. The biopsy revealed leucocytoclastic and necrotizing vasculitis. The patient improved with antibiotic, oral corticosteroids, colchicine and local care. Linking extremity ulcers with Behçet's disease, though sometimes difficult, is essential for proper management. Copyright © 2018 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.

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