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Behçet disease — SCE Rheumatology MCQ

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HardVasculitisBehçet diseaseSCE Rheumatology

A 35-year-old man with recurrent oral and genital ulcers has headaches and papilloedema. Examination shows neurological examination shows sixth nerve palsy. Investigations show MR venography is pending. What is the most important complication to screen for?

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Correct answer: CCerebral venous sinus thrombosis

Cerebral venous sinus thrombosis is the complication most strongly suggested by this vasculitis phenotype. The other options are recognised complications in other rheumatological diseases but do not fit the organ pattern here. Screening and safety-netting should focus on complications that cause irreversible morbidity.

Reference: EULAR ANCA-associated vasculitis recommendations; BSR guideline; BNF