Evaluation of patients with Behçet’s disease by cervical cytology and colposcopic examination

Abstract

Patients with BD are more prone to having an abnormal cervical cytology and acetowhite and iodine-negative epithelium on colposcopic examination. However, these findings are mostly benign conditions. The complaint of dyspareunia should be considered during treatment of female patients with BD.

Use of colposcopy in a patient with recurrent genital ulcers

“…It is a multisystem vasculitic disorder and the diagnosis is based on clinical criteria. [1][2][3][4] Our patient fulfilled the criteria of recurrent oral and genital ulcerations as well as a cutaneous manifestation.…”

“…It was suggested that this was due to the benign inflammatory changes in the cervical epithelium. 2 As in this case, diagnosis for recurrent genital ulcers can be difficult although when information about oral ulcers became available, a diagnosis of Behçet's became more obvious. A complete history and physical examination that pays particular attention to signs or symptoms of an underlying associated systemic condition are essential when evaluating patients with recurrent genital ulcers.…”

“…Papanicolaou smear in our patient showed ASCUS, but histopathology result for the cervix was normal. In a prospective study by Özdemir et al, 2 abnormal cervical cytology, acetowhite epithelium, and iodine-negative epithelium on colposcopy were more common in Behçet's patients. Nonetheless, the majority of ASCUS results revealed a normal finding for cervical histopathology.…”

A Rare Presentation of Behçet Ulcer on the Vaginal Cuff: Case Report

“…The duration for ulcer recovery was 2.6±0.9 weeks. 13 The genital lesions are usually circular or oval and look like they have been punctured with a staple. In contrast to oral ulcers, genital lesions recover with scar formation that is specific to BS.…”