Excessive bleeding from genital ulcers of Behcet's disease


Bostankolu A., Aksungur V., Aksungur E., Ozpoyraz M., Yucel A., Memisoglu H.

CUTIS, vol.60, no.3, pp.159-161, 1997 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 60 Issue: 3
  • Publication Date: 1997
  • Title of Journal : CUTIS
  • Page Numbers: pp.159-161

Abstract

Although genital ulcers are a common manifestation of Behcet's disease, bleeding from these lesions is unusual, In this report, a patient with excessive bleeding from genital ulcers is presented, A 22-year-old man with recurrent oral and genital ulcers, erythema nodosum, folliculitis, positive pathergic reaction, uveitis, superior vena cava syndrome, and generalized lymphadenopathy fulfilled the diagnostic criteria of Behcet's disease, Three years after presenting he was admitted to our clinic with excessive bleeding from large ulcers on the scrotum and upper thighs and with a leg ulcer, Bleeding was controlled with compresses, Examination of a biopsy specimen obtained from the leg ulcer showed findings consistent with Kaposi-like acroangiodermatitis, Results of various radiologic investigations showed thrombosis of the inferior vena cava, peritesticular varicosities, and venous insufficiency of the lower extremities, We suggest that the bleeding was secondary to the extension of genital ulcers to the varicose veins.