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Behçet eye disease — SCE Rheumatology MCQ

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ModerateVasculitisBehçet eye diseaseSCE Rheumatology

A 29-year-old man with Behçet disease develops posterior uveitis and reduced visual acuity. Examination shows oral ulcers and retinal vasculitis are present. Investigations show CRP is mildly raised. What is the most appropriate management?

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Correct answer: A — Urgent ophthalmology and systemic immunosuppression

Urgent ophthalmology and systemic immunosuppression is the best management step because the vignette describes active or organ-threatening vasculitis. The tempting alternatives either delay sight- or organ-saving therapy or treat a different condition. In vasculitis, treatment urgency is determined by organ threat as much as by diagnostic certainty.

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