Behçet's disease - a difficult disease in terms of diagnosis in an adolescent patient

  • Helena Maria Ribeiro Fernandes General and Family Medicine, Unidade de Saúde Familiar do Mar, Agrupamento dos Centros de Saúde Grande Porto IV
  • Maria Conceição Santos Silva Department of Pediatrics, Centro Hospitalar Póvoa de Varzim/Vila do Conde
  • Gabriela Amorim Casanova General and Family Medicine, Unidade de Saúde Familiar do Mar, Agrupamento dos Centros de Saúde Grande Porto IV
  • Ana Catarina Andrade Peixoto General and Family Medicine, Unidade de Saúde Familiar do Mar, Agrupamento dos Centros de Saúde Grande Porto IV
Keywords: Behçet’s disease, diagnosis, therapeutics

Abstract

Introduction: Behçet’s disease (BD) is a chronic multisystem disorder. The diagnosis is made only by using diagnostic criteria and children are rarely affected.
Case report: A 17-years-old adolescent with recurrent oral aphthous ulcers since 13 years of age, without any other symptoms. Differential diagnoses such as infections, hypovitaminosis, food allergy and celiac disease were excluded. In order to diagnose Behçet’s disease, the pathergy test was done and it was negative. At the age of 16, the adolescent developed facial papulopustules and acneiform nodules, undistinguishable from acne, and at 17 years of age, she developed a genital aphthous ulceration. The patient was sent to a pediatric rheumatology physician, and, considering a likely BD, started a treatment with oral colchicine, with reduction of the number and recurrence of oral aphthous ulcers. This patient has clinical criteria to be diagnosed with BD.
Discussion: This clinical report is a reminder of how important it is to continuously follow patients because of the insidious character of some diseases, including rheumatic, and highlights that BD can be hard to diagnosis in the paediatric population.

Author Biographies

Helena Maria Ribeiro Fernandes, General and Family Medicine, Unidade de Saúde Familiar do Mar, Agrupamento dos Centros de Saúde Grande Porto IV
Interna de Formação Específica de Medicina Geral e Familiar; Unidade de Saúde Familiar do Mar, Agrupamento dos Centros de Saúde Grande Porto IV
Maria Conceição Santos Silva, Department of Pediatrics, Centro Hospitalar Póvoa de Varzim/Vila do Conde
Médica Especialista em Pediatria no Centro Hospitalar Póvoa de Varzim/Vila do Conde
Gabriela Amorim Casanova, General and Family Medicine, Unidade de Saúde Familiar do Mar, Agrupamento dos Centros de Saúde Grande Porto IV

Médica Especialista em Medicina Geral e Familiar, Agrupamento dos Centros de Saúde Grande Porto IV, Póvoa de Varzim/Vila do Conde

Ana Catarina Andrade Peixoto, General and Family Medicine, Unidade de Saúde Familiar do Mar, Agrupamento dos Centros de Saúde Grande Porto IV
Médica Interna na Unidade de Saúde Familiar do Mar, Agrupamento dos Centros de Saúde Grande Porto IV, Póvoa de Varzim/Vila do Conde

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Published
2017-12-27
Section
Case Reports