ATYPICAL CUTANEOUS LESIONS IN BEHCET’S DISEASE: A CLINICO-PATHOLOGICAL CORRELATION

*Dr. Isha Gupta, Dr. Priyadarshini Sahu and Dr. Surabhi Dayal

ABSTRACT

A variety of cutaneous lesions may occur in Behçet's disease (BD) both at the onset and over the course of the disease. Erythema nodosum (EN) (15-78%) and Papulopustular lesions (28-96%) are the most commonly observed cutaneous lesions. We describe a case of 17 year old male with previously undiagnosed Behcet disease who presented to OPD with multiple recurrent eroded papulonodular lesions on acral areas with history of positive pathergy phenomenon. Histopathology manifestation from the lesion was suggestive of Behcet’s disease. The patient was treated with oral corticosteroids and dapsone which showed a tremendous response with healing of all the lesions. To the best of our knowledge such atypical lesions of Behcet’s disease have not been reported in literature so far. We suggest eroded papulonodular lesions on acral areas as observed in our patient may be included in the spectrum of the cutaneous manifestations of Behçet's disease.

Keywords: Behcet, acral papulonodular.