A patient gives a history of recurrent oral ulcers. The ulcers are small with a yellow-floor surrounded by an erythematous halo on the lips. He also has multiple, tender nodules on the skin. He most likely has-
Correct Answer: Behcet's syndrome
Description: behctes disease- Chronic relapsing multisystem disease characterised by neutrophilic vascular reaction or vasculitis with progressing course International criteria to diagnose behcets disease Symptom points Ocular lesions recurrent 2 Recurrent aphthous ulcers 2 Recurrent genital ulcers 2 Recurrent skin lesions ( erythemanododsum, papular, pustular,vasculitic) 1 Central nervous system 1 Vascular manifestations 1 Positive patterns test 1 Score >4 is diagnostic of Behcet's disease Fitzpatrick textbook of dermatology page 2568
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