Genital ulcers: do not forget Behcet disease

Maia, Susana; Martins, Alexandra; Santos, Catarina Norte dos; Alves, François

doi:10.1136/bcr.11.2011.5069

Cited by 8 publications

(7 citation statements)

References 2 publications

(1 reference statement)

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“… 22 , 23 Maia et al. 10 advise that practitioners should consider Behçet’s when a patient presents with genital ulcers and other symptoms such as oral ulcers and uveitis.…”

Section: Discussionmentioning

confidence: 99%

“…Genital herpes is rarely misdiagnosed but there are some conditions which can cause similar ulceration such as Varicella Zoster and aphthous genital ulcers; both conditions being linked to viral activity. 22,23 Maia et al 10 advise that practitioners should consider Behc¸et's when a patient presents with genital ulcers and other symptoms such as oral ulcers and uveitis.…”

Section: Misdiagnosis Of Genital Herpesmentioning

confidence: 99%

“…9 For women with Behc¸et's disease, ulceration can develop on both the external genital region and where it cannot be seen, such as on the cervix. 10 Ulceration may create a barrier to successful sexual relations due to pain. Even when there are no external ulcers, patients may be unaware of hidden internal ulcers until after penetration has commenced.…”

Section: Introductionmentioning

confidence: 99%

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The impact of Behçet’s disease on intimate relationships in women: A qualitative study

Sweeting

Arden‐Close

2020

Chronic Illness

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Objective Behçet’s disease is a rare and incurable condition where the body’s immune system attacks healthy tissue. Behçet’s can cause blood clots and ulcerations to form in every organ and system in the body, including deep and painful genital ulceration. The psychological impact of the disease on intimacy and relationships is unexplored. This study aimed to explore how the disease impacts on female patients’ intimate partner relationships. Methods Participants were seven female, UK patients with Behçet’s disease who were in committed relationships. In depth, semi-structured interviews lasting approximately 80 minutes were conducted via video conferencing about participants’ sexual functioning and intimate relationships. Data was analysed using Interpretative Phenomenological Analysis. Results Patients’ sexual relationships and intimacy were impacted by issues due to lack of knowledge of symptoms (misdiagnosis of herpes), issues due to symptoms (genital manifestations, painful sex, exhaustion), difficulties communicating with medical professionals, medication, partner support, and support from fellow Behçet’s patients. Discussion Female Behçet’s patients are at risk of developing psychological problems with intimacy due to symptoms, lack of knowledge of symptoms, and negative impacts of medication. Intimacy needs to be discussed in medical consultations so these issues can be addressed before a lack of intimacy negatively impacts relationships.

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“… 22 , 23 Maia et al. 10 advise that practitioners should consider Behçet’s when a patient presents with genital ulcers and other symptoms such as oral ulcers and uveitis.…”

Section: Discussionmentioning

confidence: 99%

Section: Misdiagnosis Of Genital Herpesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The impact of Behçet’s disease on intimate relationships in women: A qualitative study

Sweeting

Arden‐Close

2020

Chronic Illness

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“…It most frequently manifests itself as recurrent, painful ulcers of the mouth and genitals surrounded by an erythematous rash (Figure 1). 2,3 In addition to involvement in other organ systems (skin, eye, gastrointestinal tract, joints, and both central and peripheral nervous system), Behçet large vessel vasculitis can lead to pulmonary artery aneurysms and life-threatening pulmonary hemorrhage.…”

Section: Behçet Syndromementioning

confidence: 99%

Diagnosis and Management of Vulvar Ulcers: Part II—Less Common Vulvar Ulcers

Lerner

2023

Topics in Obstetrics &Amp; Gynecology

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types I and II, there are multiple other, less frequently encountered etiologies for such lesions that must also be considered. While serologic testing, cultures, and biopsies play an important role in the diagnosis of these lesions, a careful history and physical examination remain the most important factor in arriving at an accurate diagnosis. This second article in the series on vulvar ulcers reviews these rarer causes of vulvar ulcers. Behçet SyndromeBehçet syndrome is a complex vasculitis with diverse symptoms affecting many areas of the body. It is most frequently seen in young adults ages 20 to 40 years. There is a geographic propensity for Behçet disease in individuals from the Middle East, Turkey, and Eastern Asia. 1 The vasculitis that produces Behçet syndrome's multiorgan involvement affects vessels of all calibers: small, medium, and large. It most frequently manifests itself as recurrent, painful ulcers of the mouth and genitals surrounded by an erythematous rash (Figure 1). 2,3 In addition to involvement in other organ systems (skin, eye, This article is the second of 2 parts.Vulvar ulcers are frequently seen not only by gynecologists but also by pediatricians, family practitioners, and emergency department physicians. They present in girls and women of all ages as painful intact or unroofed blisters, often of abrupt onset. They can lead to such severe discomfort as to make urination impossible. Although the most common cause of such ulcers is herpes simplex virus (HSV)

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“…4 Maia et al demonstrated that a patient with typical BD findings had a concomitant cervical ulcer. 5 Interestingly, Cobilinschi et al reported that a 34-year-old female patient with BD who was admitted with progressive dysuria, pain in the right lumbar region, and hydronephrosis was determined a necrotic ulcer in the ureter whose histopathology was compatible with vasculitis. 6 We present this case to draw attention to the aphthous ulcer in the urethra as an unusual genital involvement for BD, and the importance of physical examination.…”

mentioning

confidence: 99%