Differential Diagnosis of Behcets disease

Differential Diagnosis of Behcets disease

Behcets disease is a clinical diagnosis. What other diseases must be considered and ruled out in a patient presenting with possible Behcets disease?

Virtually all the features of Behçet’s disease can be seen in Crohn’s colitis. Inflammatory bowel disease must be considered particularly in patients with iron deficiency, markedly elevated erythrocyte sedimentation rate (ESR; >100 mm/hour), or even minor bowel complaints. Other diseases with oral ulcers, ocular disease, and arthritis that need to be considered include systemic lupus erythematosus, reactive arthritis, herpetic infection, systemic vasculitis, Sweet’s syndrome, and periodic fever syndromes (periodic fever, aphthous stomatitis, pharyngitis, adenitis—PFAPA, hyperimmunoglobulin D syndrome).

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