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Multiple cutaneous and mucocutaneous lesions as manifestations of pseudo-Behçet’s disease
  1. Sanjiv Choudhary1,
  2. Ankita Srivastava1,
  3. Ariharasudhan Varadharajan1 and
  4. Rijavi Choudhary2
  1. 1Dermatology, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
  2. 2Datta Meghe Institute of Medical Sciences, Nagpur, Maharashtra, India
  1. Correspondence to Dr Sanjiv Choudhary; sanjiv.derma26{at}gmail.com

Abstract

Pseudo-Behçet’s disease (PBD) is a close clinical mimicker of Behçet’s disease (BD) which can present with orogenital ulceration and uveitis. However, these manifestations in PBD are associated with occult tuberculosis. Sometimes, diagnosis of PBD is established retrospectively when the lesions respond to anti-tubercular therapy (ATT). We here describe a case who presented with a penile ulcer, initially suspected to be a sexually transmitted infection, but was later diagnosed as PBD and resulted in complete healing with ATT. Knowledge about this condition is essential to prevent misdiagnosis as BD and unnecessary treatment with systemic corticosteroids, which can lead to worsening of tuberculosis.

  • Dermatology
  • Infectious diseases
  • TB and other respiratory infections

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Footnotes

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content—SC, AS, AV and RC. The following authors gave final approval of the manuscript—SC, AS, AV and RC.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.