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Postoperatif İzlemde Saptanan Nadir Bir Behçet Hastalığı Olgusu

Year 2020, Volume: 14 Issue: 6, 536 - 537, 30.11.2020
https://doi.org/10.12956/tchd.681974

Abstract

Behçet Hastalığı; tekrarlayan aftöz ülserler, genital ülserler ve üveit semptomlarıyla karakterize, nadir görülen bir vaskülit türüdür. Behçet Hastalığı klasik semptomlarıyla bulgu vererek ortaya çıkabildiği gibi, çevresel faktörlere bağlı yaralar sonrası da tanı alabilmektedir. Nonkommunike hidrosel nedeniyle opere edilen 16 yaşında erkek hasta postoperatif insizyonunda akıntı ve açılma nedeniyle başvurdu, yara yeri revizyonu sonrası tekrar yara yerinde açılma ve yeni ülsere alanların gözlenmesi üzerine hastada Behçet Hastalığı düşünüldü. Kolşisin tablet, lokal antibakteriyel başlanan hastanın izleminde insizyonunda iyileşme ve genital ülserlerde düzelme görüldü. Çocuk hastalarda düşük sıklıkta görülmesi ve ortaya çıkış biçimi açısından değerlendirildiğinde oldukça nadir görülmesi nedeniyle iyileşmeyen insizyon yaraları ve ülserasyonlar bulunan olgularda Behçet Hastalığı da mutlaka akılda tutulmalıdır.

References

  • 1. Davatchi F., Chams-Davatchi C., Shams H., Shahram F., Nadji A, Akhlaghi M. et al. Behcet's disease: epidemiology, clinical manifestations, and diagnosis. Expert Rev Clin Immunol. 2017 Jan;13(1):57-65.
  • 2. Koné-Paut I. Behcet’s disease in children, an overview. Pediatr Rheumatol Online J. 2016;14(1):10.
  • 3. Davatchi F., Shahram F., Chams-Davatchi C., Shams H., Nadji A, Akhlaghi M. et al. Behcet’s disease in Iran: analysis of 6500 cases. Int J Rheum Dis. 2010;13:367–373.
  • 4. Shanmugam V. K., Fernandez S., Evans K., McNish S., Banerjee A. N., Couch K. S. et al. Postoperative wound dehiscence: Predictors and associations. Wound Rep Reg. 2015;23:184–190.
  • 5. Van Ramshorst G. H., Salu N. E., Bax N. M. A., Hop W. C. J., van Heurn E., Aronson D. C. et al. Risk Factors for Abdominal Wound Dehiscence in Children: A Case-Control Study. World J Surg. 2009;33:1509–1513.

A Rare Presentation of Behcet’s Disease Detected Postoperatively

Year 2020, Volume: 14 Issue: 6, 536 - 537, 30.11.2020
https://doi.org/10.12956/tchd.681974

Abstract

Behçet’s Disease (BD) is a rare vasculitic disorder that is consists of a triple-symptom complex of recurrent oral aphthous ulcers, genital ulcers, and uveitis. Although BD may present with its common symptoms, it may be appeared with the delayed healing of the wounds caused by environmental factors. 16 year-old-boy operated for noncommunicating hydrocele and short period after discharging, he presented to the emergency room with the complaint of recurrent dehiscence and serous leak of incision although it revised once. After detailed investigations the patient diagnosed as BD and treated with colchicine, so that, Behçet's disease (BD) should also be kept in mind in patients with deficient wound healing, history of surgical interventions and different ulcer lesions after surgery.

References

  • 1. Davatchi F., Chams-Davatchi C., Shams H., Shahram F., Nadji A, Akhlaghi M. et al. Behcet's disease: epidemiology, clinical manifestations, and diagnosis. Expert Rev Clin Immunol. 2017 Jan;13(1):57-65.
  • 2. Koné-Paut I. Behcet’s disease in children, an overview. Pediatr Rheumatol Online J. 2016;14(1):10.
  • 3. Davatchi F., Shahram F., Chams-Davatchi C., Shams H., Nadji A, Akhlaghi M. et al. Behcet’s disease in Iran: analysis of 6500 cases. Int J Rheum Dis. 2010;13:367–373.
  • 4. Shanmugam V. K., Fernandez S., Evans K., McNish S., Banerjee A. N., Couch K. S. et al. Postoperative wound dehiscence: Predictors and associations. Wound Rep Reg. 2015;23:184–190.
  • 5. Van Ramshorst G. H., Salu N. E., Bax N. M. A., Hop W. C. J., van Heurn E., Aronson D. C. et al. Risk Factors for Abdominal Wound Dehiscence in Children: A Case-Control Study. World J Surg. 2009;33:1509–1513.
There are 5 citations in total.

Details

Primary Language English
Subjects Surgery
Journal Section CASE REPORTS
Authors

Yusuf Alper Kara 0000-0002-1265-0997

Fatma Tuğba Güvenç This is me 0000-0002-9464-9737

Asuman Gürkan This is me 0000-0001-9708-296X

Derya Erdoğan 0000-0003-1730-4177

Publication Date November 30, 2020
Submission Date February 26, 2020
Published in Issue Year 2020 Volume: 14 Issue: 6

Cite

Vancouver Kara YA, Güvenç FT, Gürkan A, Erdoğan D. A Rare Presentation of Behcet’s Disease Detected Postoperatively. Türkiye Çocuk Hast Derg. 2020;14(6):536-7.


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