. 2010; 21(3): 138-142 | |||
Piyoderma gangrenozum benzeri lezyonlarla seyreden Behçet olgusuDemet Çiçek1, Rahime İnci1, Bengü Çobanoğlu2, Selma Bakar Dertlioğlu3, İbrahim Kökçam11Fırat Üniversitesi Tıp Fakültesi, Dermatoloji Anabilim Dalı, Elazığ2Fırat Üniversitesi Tıp Fakültesi, Patoloji Anabilim Dalı, Elazığ 3Harran Üniversitesi Tıp Fakültesi, Dermatoloji Anabilim Dalı, Şanlıurfa Otuz iki yaşındaki kadın hasta 10 gün önce bacağında, altı gün önce de genital bölgesinde başlayan ağrılı yara şikayeti ile polikliniğimize başvurdu. Hastanın anamnezinden son 3 yıldan beri tekrarlayan oral aftları olduğu öğrenildi. Hastanın yapılan dermatolojik muayenesinde, sağ bacak medialinde 5x4 cm boyutlarında, etrafında mor renkli bir hale olan eritemli bir alan ve bu alanın alt-iç kısmında 2 cm çapında üzeri nekrotik materyalle A Behcet’s case wıth lesions resembling pyoderma gangrenosumDemet Çiçek1, Rahime İnci1, Bengü Çobanoğlu2, Selma Bakar Dertlioğlu3, İbrahim Kökçam11Fırat University Faculty of Medicine, Department of Dermatology, Elazıg2Fırat University Faculty of Medicine, Department of Pathology, Elazıg 3Harran University Faculty of Medicine, Department of Dermatology, Sanlıurfa A 32-year-old female patient was admitted to our polyclinic with complaints of painful lesion, which started 10 days before on her leg and six days before in the genital area. It was learned that she had experienced recurrent oral ulcers for the last three years. The dermatological examination revealed an erythematous site measuring 5x4 cm surrounded by a purple ring on the middle right leg and an ulcer 2x2 cm in diameter covered with necrotic material at the lower inner part of this area. Histological examination of the biopsy material taken from the lesions on the right leg was compatible with pyoderma gangrenosum (PG) accompanied by vasculitis. Presence of vasculitis signs in the histopathologic examination, history of oral aphthae, bilateral anterior uveitis sequelae, and pathergy test positivity led to the diagnosis of Behçet’s disease (BD). We present this case who had PG-like lesions and was diagnosed as BD after etiological investigation to draw attention to the coexistence of the two diseases and their clinical-histopathologic differences. Keywords: Behcet’s disease, pyoderma gangrenosum, ulcerDemet Çiçek, Rahime İnci, Bengü Çobanoğlu, Selma Bakar Dertlioğlu, İbrahim Kökçam. A Behcet’s case wıth lesions resembling pyoderma gangrenosum. . 2010; 21(3): 138-142 Sorumlu Yazar: Demet Çiçek, Türkiye |
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