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Behçet Disease — SCE Dermatology MCQ

Instant feedback + full explanation. One question, done properly.

HardConnective Tissue & VasculitisBehçet DiseaseSCE Dermatology

A patient with recurrent oral and genital ulceration and pathergy develops sudden painful visual loss with hypopyon and retinal vasculitis. Which immediate pathway is most appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Arrange same-day ophthalmology assessment for urgent systemic treatment of ocular Behçet disease

Explanation lettering: B = shown as A · C = shown as B · A = shown as C

E is correct. Sight-threatening uveitis and retinal vasculitis in Behçet disease require urgent ophthalmology involvement and multidisciplinary systemic treatment; delay can cause irreversible visual loss. Topical oral-ulcer therapy does not treat posterior ocular inflammation. The recurrent aphthosis and pathergy pattern is not established as herpes by genital ulcers alone, chloramphenicol does not treat uveitis, and pathergy is supportive rather than a prerequisite that should delay care. The BAD-BSR living guideline emphasises organ-specific urgent specialist pathways.

Reference: BAD-BSR Behçet living guideline 2024: https://www.bad.org.uk/living-guideline-for-managing-people-with-behcets-2024