Behcet Disease — RACP Paediatrics MCQ

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HardRheumatologyBehcet DiseaseRACP Paediatrics

A 12-year-old boy has recurrent oral ulcers, genital ulcers, and anterior uveitis. He also has pathergy (exaggerated skin response to minor trauma). What is the diagnosis?

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Correct answer: D — Behcet disease

Behcet disease: recurrent oral ulcers (≥3 episodes/year) plus ≥2 of: recurrent genital ulcers, eye involvement (uveitis), skin lesions (erythema nodosum, papulopustular), or positive pathergy test. It is more common in Turkey, Middle East, and East Asia (Silk Road distribution). Treatment includes colchicine and immunosuppression.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Vasculitis