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A member asked:
I have a patient who i think has behcet's disease. i've never seen it or diagnosed it, but she has painful vaginal and mouth ulcers. what's next?
12 doctors weighed in across 3 answers
Labs: Check inflammatory markers, RF, ANA panel and HLAB51. Hope this helps
Answered 10/2/2017
2.2k views
“Can't see, can't pee, can't climb a tree”: There are no specific tests to confirm a diagnosis of Behcet's Disease. The diagnosis is based on clinical criteria only. Recurrent oral ulcerations at least three times in one year PLUS any two of the following: • Recurrent genital ulcerations • Uveitis or retinal vasculitis • Skin lesions • Positive "pathergy test" Refer to Opthalmologist first then Rheumatologist. Rx is topical steroids.
Answered 11/27/2017
2k views
History: Of recurrence of the mouth ulcers. Other symptoms that suggest vascular inflammation are important. Treatment probably will include oral steroids for inflammation control , topicals with steroids and anesthetics . Agree with earlier answer of pathergy test and referral to Rheumatologist
Answered 6/25/2022
1.8k views
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