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Behcet's Disease with Upper GI Bleeding
Melaku Getachew1, Nebiyou Seyoum2, Finot Debebe1
1Department of Emergency Medicine, Addis Ababa University, Addis Ababa, Ethiopia.
Insights
Behcet
Area of Science:
- Rheumatology
- Vascular Medicine
Background:
- Behcet's disease is a rare multisystemic inflammatory disorder.
- Its prevalence in sub-Saharan Africa is largely unknown, with limited documented cases.
Observation:
- A 29-year-old Ethiopian male presented with severe back pain, recurrent oral/genital ulcers, vision loss, cerebral vein thrombosis, GI bleeding, and aortic dissection.
- A positive pathergy test further supported the diagnosis.
Findings:
- The patient was retrospectively diagnosed with Behcet's disease using both the International Criteria for Behcet's Disease (ICBD) and International Study Group (ISG) criteria.
- This case highlights a complex presentation of Behcet's disease.
Implications:
- Increased awareness of Behcet's disease clinical manifestations is crucial for early diagnosis in sub-Saharan Africa.
- Timely diagnosis and management are essential for improving patient outcomes in this region.
Abstract:
Introduction. Behcet's disease is a multisystem disease. In sub-Saharan Africa, the prevalence of this disease is not known, with only one case report from Ethiopia. Case Presentation. We describe a case of a 29-year-old Ethiopian male who presented to the emergency room of Tikur Anbessa specialized hospital with 4 days history of back pain, recurrent history of oral and genital ulcers, right eye blindness, chronic cerebral vein thrombosis, gastrointestinal bleeding, aortic aneurysm with dissection, and positive pathergy test. He is retrospectively diagnosed with Behcet's disease according to both the International Criteria for Behcet's Disease (ICBD) and the International Study Group (ISG) consensus. Conclusion. Even if Behcet's disease is rare in sub-Saharan Africa, it is important to know the clinical presentation for timely diagnosis and urgent management.
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