Intestinal Behcet’s : A Rare Presentation of Behcet’s Disease
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Date
2022-10
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Indian Medical Association
Abstract
We herein present a case of 48 years old female patient presented with fever, bloody diarrhea followed by palpable purpuric rash over the body along with recurrent oral and genital ulceration. These were associated with history of symmetric polyarthralgia. On examination moderate anemia, signs of anterior uveitis were found. In blood parameters thrombocytopenia along with elevated Erythrocyte Sedimentation Rate, C-Reactive Protein were noted. On further investigations the serological tests were found to be negative for Dengue, Chikungunya, HIV, HBV, HCV. Complement C3 found to be low. Colonoscopic biopsy is diagnostic of Indeterminate Crohn’s Disease with IgA, G, M, C3, Fibrinogen immunostaining in skin biopsy. ANA, P-ANCA, C-ANCA were found to be nonreactive for the patient. All of the above mentioned points were pointing towards Behcet’s disease. For confirmation, Anti Saccharomyces Cerevisae Antibody was found to be positive . Skin pathergy test was positive. So, we diagnosed this case as behcet’s disease.
Description
Keywords
Intestinal behcet’s disease, Skin pathergy test, HLA-B51
Citation
Chowdhury Aditya, Bhakat Biva. Intestinal Behcet’s : A Rare Presentation of Behcet’s Disease. Journal of The Indian Medical Association. 2022 Oct; 120(10): 68-70