Journal Information
Vol. 6. Issue 6.
Pages 303-305 (November - December 2010)
Share
Share
Download PDF
More article options
Vol. 6. Issue 6.
Pages 303-305 (November - December 2010)
Full text access
Severe flare of Behcet's disease with intense mucucutaneous manifestations
Brote severo de la enfermedad de Behçet con manifestaciones mucocutáneas intensas
Visits
5962
José M. Martína,
Corresponding author
jmmart@eresmas.com

Corresponding author.
, Elisabeth Mateob, Carlos Monteagudoc, Esperanza Jordáa
a Servicios de Dermatología, Hospital Clínico Universitario, Valencia, Spain
b Medicina Interna, Hospital General Universitario, Valencia, Spain
c Anatomía Patológica, Hospital Clínico Universitario, Valencia, Spain
This item has received
Article information
Abstract

Behcet's disease is a multisystemic inflammatory disease with various manifestations at the skin level, especially in the form of acne-like lesions or erythema nodosum. Susceptibility to this disease is strongly linked to the presence of the HLA_B51 allele, although certain environmental factors such as infectious agents have also been implicated in its pathogenesis. We present the case of a patient with Behcet's disease who developed a severe flare characterized by lesions similar to those seen in Sweet's syndrome. Histologically we observed granulomatous vasculitis.

Keywords:
Cytomegalovirus
Behcet's disease
Resumen

La enfermedad de Behcet es un trastorno inflamatorio multisistemico que se manifiesta de forma muy variada a nivel cutaneo, especialmente en forma de lesiones acneiformes o de eritema nodoso. La susceptibilidad a padecer esta enfermedad se halla fuertemente ligada con la presencia del alelo HLA-B51, aunque determinados factores ambientales como agentes infecciosos tambien se han implicado en la patogenesis. Presentamos el caso de una paciente con una enfermedad de Behcet que desarrollo un brote severo con lesiones cutaneas analogas a las que se aprecian en el sindrome de Sweet. Histologicamente se apreciaron fenomenos de vasculitis granulomatosa.

Palabras clave:
Citomegalovirus
Enfermedad de Behçet
Full text is only aviable in PDF
References
[1.]
T. Sakane, M. Takeno, N. Suzuki, G. Inaba.
Behçet's disease.
New Engl J Med, 341 (1999), pp. 1284-1291
[2.]
M. Balabanova, K.T. Calamia, C. Perniciaro, J.D. O’Duffy.
A study of the cutaneous manifestations of Behçet's disease in patients from the United States.
J Am Acad Dermatol, 41 (1999), pp. 540-545
[3.]
J. Sanchez-Roman, M.J. Castillo-Palma, R. Torronteras Santiago, J.M. Varela Aguilar, F. Lopez Checa, F. Sanchez Garcia.
Type I herpes virus. HLA phenotype and Behçet disease.
Med Clin (Barc), 98 (1992), pp. 366-368
[4.]
C.M. Magro, A.N. Crowson.
Cutaneous manifestations of Behçet's disease.
Int J Dermatol, 34 (1995), pp. 159-165
[5.]
V.G. Kaklamani, G. Variopoulos, P.G. Kaklamanis.
Behçet's disease.
Semin Arthritis Rheum, 27 (1998), pp. 197-217
[6.]
H. Direskeneli.
Behçet's disease: infectious aetiology, new autoantigens, and HLA-B51.
Ann Rheum Dis, 60 (2001), pp. 996-1002
[7.]
K.R. Chen, Y. Kawahara, S. Miyakawa, T. Nishikawa.
Cutaneous vasculitis in Behçet's disease: a clinical and histopathologic study of 20 patients.
J Am Acad Dermatol, 36 (1997), pp. 689-696
[8.]
E. Alpsoy, S. Uzun, A. Azman, M. Alpaslan Acar, H.R. Memisoglu, E. Basaran.
Histologic and immunofluorescence findings of non-follicular papulopustular lesions in patients with Behçet's disease.
J Eur Acad Dermatol Venereol, 17 (2003), pp. 521-524
[9.]
A. Sun, J.G. Chang, C.T. Chu, B.Y. Liu, J.H. Yuan, C.P. Chiang.
Preliminary evidence for an association of Epstein-Barr virus with pre-ulcerative oral lesions in patients with recurrent aphthous ulcers or Behçet's disease.
J Oral Pathol Med, 27 (1998), pp. 168-175
[10.]
A. Sun, J.G. Chang, C.L. Kao, B.Y. Liu, J.T. Wang, C.T. Chu.
Human cytomegalovirus as a potential etiologic agent in recurrent aphthous ulcers and Behçet's disease.
J Oral Pathol Med, 25 (1996), pp. 212-218
[11.]
E.B. Lee, Y.J. Kwon, K.C. Shin, Y.W. Song, C.G. Park, E.S. Hwang, et al.
Decreased serum level of antibody against human cytomegalovirus in patients with Behçet's disease.
Rheumatol Int, 25 (2005), pp. 33-36
[12.]
F. Ghodratnama, D. Wray, J. Bagg.
Detection of serum antibodies against cytomegalovirus, varicella zoster virus and human herpesvirus 6 in patients with recurrent aphtous stomatitis.
J Oral Pathol Med, 28 (1999), pp. 12-15
Copyright © 2010. Sociedad Española de Reumatología and Colegio Mexicano de Reumatología
Download PDF
Idiomas
Reumatología Clínica (English Edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?