Syndrome In Question
A 40-year-old man had, since 1996, presented arthralgia of the knees, ankles, and\nwrists; recurrent oral and genital ulcers; papulopustular lesions on the upper limbs and\nupper front torso, and painful nodules on the lower limbs.\nA diagnosis of Behçet's disease was established from clinical criteria and\nhistopathological exam. Treatment was initiated with dapsone, deflazacort, calcium\ncarbonate, and Vitamin D with lesion remission.\nIn 2010 he began recurrent crises of oedema, erythema, and painful nodules on the ear\nauricles, more accentuated on the left side, which abated after increased corticosteroid\ntreatment ().\nA smoker and drinker, he presented femural neck osteopenia and hepatic steatosis of\nalcoholic aetiology. Annual ophthalmological exam was performed without ocular\ncompromise from Behçet's disease, although he presented hypertensive retinopathy.\nLaboratory exams had shown normal hepatic enzyme levels, serum negativity for hepatitis\nB & C, hemogram, and electrolytes. Inflammatory tests were altered: VHS 28 mm and\nPCR 36.0.