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Computed tomography in Behçet disease.

A L Williams, V M Haughton, V K Saxena

    Radiology
    |May 1, 1979
    PubMed
    Summary
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    Behçet disease can present as intracranial mass lesions on CT scans, even before skin symptoms appear. This highlights the importance of considering Behçet disease in neurological diagnoses.

    Area of Science:

    • Neurology
    • Radiology
    • Immunology

    Background:

    • Behçet disease is a multisystem inflammatory disorder.
    • Neurologic involvement can manifest before characteristic mucocutaneous findings.
    • Intracranial mass lesions are a potential presentation of neuro-Behçet disease.

    Observation:

    • Computed tomography (CT) imaging in Behçet disease may reveal hypodense intracranial lesions.
    • These lesions can exhibit contrast enhancement.
    • Central nervous system (CNS) involvement is a recognized, albeit less common, manifestation.

    Findings:

    • The case presented demonstrates CNS involvement in Behçet disease.
    • CT findings included low attenuation mass lesions.
    • The diagnostic challenge arises when neurologic symptoms precede dermatologic manifestations.

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    Implications:

    • Behçet disease should be considered in the differential diagnosis of unexplained intracranial mass lesions.
    • Early recognition of neuro-Behçet disease is crucial for timely treatment and management.
    • This underscores the need for a comprehensive diagnostic approach in patients with complex neurological presentations.