Management of vulvar Behçet's disease: case report

Abstract

Behçet's disease (BD) is an inflammatory, multisystemic, relapsing-remitting disorder
of unknown etiology. A key feature of the disease is orogenital ulceration that causes
considerable morbidity with great impact on patient’s quality of life. Its medical
management consists of a scheme with colchicine, steroids or immunomodulators.
We report the case of a patient with genital lesions who consulted on multiple
occasions, receiving antibiotics and even surgical management, with refractory
response to these interventions. Subsequently, due to the characteristics of the lesion
and clinical behavior, Behçet's disease was suspected and medical management
with oral steroids and cures with phytostimulin was initiated. The genital ulcers were
resolved, and the patient was subsequently taken to surgery for correction of the
vulvar synechiae.