Behcet disease and avascular necrosis

الملخص EN

Ali Jamaal a patient with 28 years old presented with a history of multiple ulcers since 1987, started as multiple ulcers in the face and mucus membrane of the mouth associated with pain and malaise treated with different medication with no benefit till 1992 when he was diagnosed as Behcet syndrome.

Patient put on Dapson treatment for few months with no benefit after that advised to use steroid drugs (Prednisolone) patient became better till one year before when he begins to suffer from sudden attack of generalized joint pain especially on the hip joint with limping and blurred vision and MRI done him and now present with dark colored stool associated with abdominal pain, poor appetite, no vomiting, and no heart burn also him developed multiple ulcers all over the body and genitalia.

Clinical Examination: Blood pressure: 150 / 90 Pulse rate: 96 bpm Temperature: 37˚ C General Examination: young age male look ill with multiple acne on his face and upper limbs.