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Anal complication in Behçet's syndrome

T Iwama, J Utzunomiya

The Japanese Journal of Surgery

|September 1, 1977

Summary

Behçet's syndrome can cause rare anal ulcers in children. Systemic steroid therapy effectively healed the anal lesion, with no recurrence after treatment cessation.

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Area of Science:

Pediatric Gastroenterology
Rheumatology
Dermatology

Background:

Behçet's syndrome is a rare multisystemic inflammatory disorder.
Anal complications are an uncommon manifestation, particularly in pediatric cases.

Observation:

A 12-year-old male presented with multiple anal ulcers and polypoid proliferations.
Initial treatment with operative intervention and local steroids was ineffective.

Findings:

Systemic administration of steroid hormone led to significant improvement and near-complete healing of anal ulcers.
The patient achieved remission with gradual tapering and cessation of steroid therapy, showing no signs of recurrence.

Implications:

This case highlights anal ulcer as a potential, albeit rare, complication of Behçet's syndrome in pediatric patients.
Systemic corticosteroids appear to be an effective treatment modality for managing this specific anal manifestation.

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