Open AccessA 44-Year-Old Man with Fever, Mucocutaneous Ulcers, and a Rash
Author(s) -
Meghan Ho,
Ines Sherifi,
Rodrigo Cavalcanti MSc
Publication year - 2015
Publication title -
canadian journal of general internal medicine
Language(s) - English
Resource type - Journals
eISSN - 2369-1778
pISSN - 1911-1606
DOI - 10.22374/cjgim.v10i3.45
Subject(s) - medicine , mucocutaneous zone , rash , dermatology , neutrophilia , serositis , colchicine , prednisone , skin biopsy , vasculitis , sex organ , biopsy , disease , surgery , pathology , biology , genetics
We report the case of a 44-year-old man who presented with mucocutaneous ulcers, purpuric rash, fever, pharyngitis, cervical lymphadenopathy, and arthralgias. The patient’s symptoms resolved with prednisone treatment. He later experienced recurrence of oral ulcers that responded to colchicine treatment. Behcet’s disease is a systemic vasculitis characterized by recurring oral and genital mucocutaneous lesions and accompanying ocular, gastrointestinal, articular, pulmonary, neurologic, or peripheral vascular manifestations. Sweet’s syndrome typically presents with flulike symptoms, fever, neutrophilia, and painful erythematous skin lesions. Along with skin biopsy, classification criteria exist for both conditions, which may help differentiate the two diagnoses on initial presentation.