A toddler with recurrent oral and genital ulcers

In western countries, when a child presents with recurrent oral ulcers and colitis, the diagnosis of Crohn's disease is mostly made. In our patient, the diagnosis was Behçet's disease with gastrointestinal manifestations. Behçet's disease with gastrointestinal manifestations has a sim...

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Bibliographic Details
Published in:Clinical rheumatology 2007-06, Vol.26 (6), p.969-970
Main Authors: Yüksel, Zehre, Schweizer, Joachim J, Mourad-Baars, Petronella E C, Sukhai, Ram N, Mearin, Luisa M
Format: Article
Language:English
Subjects:
Antirheumatic Agents - therapeutic use
Behcet Syndrome - complications
Behcet Syndrome - diagnosis
Behcet Syndrome - drug therapy
Behcet's syndrome
Bowel disease
Colitis
Colitis, Ulcerative - etiology
Crohn Disease - diagnosis
Crohn's disease
Diagnosis
Diagnosis, Differential
Failure to Thrive - etiology
Female
Fissure in Ano - etiology
Humans
Infant
Oral Ulcer - etiology
Perineum - pathology
Tumor Necrosis Factor-alpha - antagonists & inhibitors
Ulcers
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Description
Summary:In western countries, when a child presents with recurrent oral ulcers and colitis, the diagnosis of Crohn's disease is mostly made. In our patient, the diagnosis was Behçet's disease with gastrointestinal manifestations. Behçet's disease with gastrointestinal manifestations has a similar clinical presentation to Crohn's disease, but there is more organ involvement and the prognosis is more severe in the former. Because there is limited experience in the treatment of Behçet's disease in the paediatric population, successful and unsuccessful treatment modalities in both paediatric and adult populations should be reported.
ISSN:0770-3198
1434-9949
DOI:10.1007/s10067-006-0212-7