Behcet’s disease: Case report of a late diagnosis in the city of Palmas-TO

Abstract

Behçet's Disease is characterized by the presentation of a multisystemic syndrome manifested through recurrent oral ulcers, genital ulcers, skin lesions, arthritis, uveitis, among others. The objective of the article is to report the case of a patient who, in 2020, presented the ocular, oral, and genital triad, with a delayed diagnosis of Behçet's Disease, in order to expand the knowledge about the disease and assist in future diagnoses, avoiding its delay and consequent delay in treatment. Faced with this condition, the patient underwent successive rheumatological and ophthalmological evaluations that led to the diagnosis. The patient in this clinical report scored 6 out of 10 possible points on the International Criteria for Behçet's Syndrome Classification, presenting ocular lesions, oral aphthae, and genital lesions. The improvement in the condition occurred after the use of prednisone 40 mg/day, azathioprine 50 mg every 12 hours, colchicine 1 mg/day, and calcium carbonate + vitamin D. The relevance of the case lies in the issue of delayed diagnosis of Behçet's Syndrome, along with the significant lack of research addressing this condition. Therefore, it is expected that this study can support healthcare professionals in clinical practice, contributing to the improvement of management and prognosis of patients with Behçet's Disease.