BMJ Case Reports 2012; doi:10.1136/bcr.11.2011.5069
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Genital ulcers: do not forget Behçet disease

  1. François Alves2
  1. 1Department of Gynaecology Obstetrics, Faro’s Hospital, Faro, Portugal
  2. 2Department of Internal Medicine, Faro’s Hospital, Faro, Portugal
  1. Correspondence to Dr François Alves, jeanfrancoisalves{at}


A 22-year-old, previously healthy, woman was referred to our department for genital ulcers present for more than 1 year, with no resolution to the various treatments prescribed. At physical examination, the patient presented a painful ulcer with a central necrotic base and clean margin about 10 mm in diameter on the right labia majora (figure 1) and a similar lesion at the cervix (figure 2). Multiple painful aphthous like ulcers morphologically similar to genital ulcers of the oral cavity (figures 3 and 4) and folliculitis-like lesions on the legs (figure 5) were found. The diagnostic exams revealed only an elevated …

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