Behcet's Disease Flashcards

1
Q

What is Behcet’s disease?

A

Systemic inflammatory vasculitis which is associated with HLA-B51

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2
Q

Where is Behcet’s common?

A

along the old silk road from the Mediterranean to China

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3
Q

What is the cause of behcet’s?

A

Possibly neutrophil hyper-reactivity but not well understood

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4
Q

What gene is associated with Behcet’s?

A

HLA-B51

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5
Q

What is the presentation of Behcet’s?

A
  1. Recurrent aphthous ulcers
  2. Genital ulcerations
  3. Erythema nodosum
  4. Thrombophlebitis
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6
Q

What investigations are done for Behcet’s?

A
  1. Usually clinical diagnosis:

2. Can perform pathergy testing (stick a needle in forearm and papule forms in 48 hours)

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7
Q

What is the management of the orogenital ulceration?

A

topical steroids are sufficient

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8
Q

What is the management of organ involvement in Behcet’s?

A

prednisolone plus immunosuppressant (usually azathioprine)

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9
Q

What are DDx for Behcet’s?

A
  1. Crohn’s

2. UC

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