広範な壊死性潰瘍性口内炎を伴うベーチェット病の1例 A case of Behcet's disease with extensive necrotizing ulcerative stomatitis
This report describes a case of Behcet's disease with extensive necrotizing ulcerative stomatitis. A 48-year-old woman became aware of an ulcer in the oral cavity in February 2005. She had been treated by a physician, with no improvement. Therefore, she was referred to our hospital because of multiple ulcer formation in the oral cavity on March 28. Clinical examination revealed multiple ulcerative lesions of the tongue, soft palate, and labial gingiva. Our clinical diagnosis was ulcerative stomatitis of unknown cause, because CT and MRI examinations showed no abnormal findings. She complained of erythema nododum of the lower extremities. We therefore suspected that lesions were caused by systemic disease. We consulted a dermatologist at our hospital, and she was given a diagnosis of Behcet's disease on the basis of genital ulceration and treated with coichicine. An ophthalmologist found no signs of ocular inflammation. She was hospitalized to receive nutrition management with a nasogastric tube on April 11. Following treatment, the oral ulcerative lesion improved, and oral ingestion became possible. The patient was discharged on April 17 and followed up at our department of dermatology.
日本口腔外科学会雑誌 53(3), 183-187, 2007-03-20
Japanese Society of Oral and Maxillofacial Surgeons