Fever, Leukocytosis, and Ulcerated Vulvar Lesions: An Atypical Presentation Concerning Behcet's Disease

Division

South Atlantic

Hospital

Grand Strand Medical Center

Document Type

Case Report

Publication Date

7-9-2024

Keywords

behcet’s syndrome, general internal medicine, herpetic lesions, rheumatology, vulvar lesions

Disciplines

Cardiovascular Diseases | Internal Medicine | Medicine and Health Sciences | Skin and Connective Tissue Diseases | Stomatognathic Diseases

Abstract

Behcet's disease (BD) is a variable-vessel vasculitis commonly presenting in early adulthood with painful oral aphthous ulcers, genital ulcers, uveitis, pathergy, and skin lesions. The diagnosis of BD is made clinically based on criteria from the International Study Group (ISG) and the International Criteria for Behcet's Disease (ICBD). Due to the wide constellation of symptoms BD can cause, it can be challenging to diagnose in an acute setting. Here, we discuss a patient who presented with a clinical picture of sepsis, with profound ulcerated vulvar and herpetiform oral mucosal lesions, that led us to a presumptive diagnosis of Behcet's disease.

Publisher or Conference

Cureus

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