Symptoms of oral ulcer Behcet's disease

Oral ulcers caused by Behcet's disease are common at the bottom of the lips, tongue and mouth. Patients will show local grayish-white ulcers. This symptom may also occur in the genital area, such as the labia, glans, and penis.

1. Oral cavity. Recurrent oral ulcers, which are prone to occur on the tongue, lips, cheeks, and floor of mouth. The ulcers vary in number and size, are round or oval in shape, have a yellow pseudomembrane on the surface, are surrounded by red congestion, and have obvious burning pain. In mild cases, they can heal on their own in 7-14 days, but in severe cases, they will not heal for a long time. In mild cases, there will be an interval in between, and the interval time may be long or short, but in severe cases, there will be no interval, and they will occur one after another continuously. In severe cases, oral cancer may also occur.

2. Genital ulcers. Mainly external genital ulcers. Ulcers can be seen on the labia majora and minora, penis, glans penis, and scrotum. The shape is similar to oral ulcers, but because these areas are susceptible to infection and friction, they heal slowly and are extremely painful. Ulcers can also occur in the vagina and cervix. Involving small arteries can cause vaginal bleeding and can also cause male epididymitis with local lymphadenopathy. There are also many cases of genital rashes, edema, dampness, yellow water discharge or dirtiness, itching and pain, and the manifestations vary. Many patients do not know that this is Behcet's disease, and do not go to the mucosal disease department for comprehensive treatment, but are treated separately in multiple departments, resulting in poor results.

3. Skin. The main manifestations are recurrent erythema nodosum, facial folliculitis, acne-like rash, subcutaneous thrombophlebitis and skin acupuncture-like reactions. The most common is erythema nodosum, which often occurs in the limbs, especially in the lower limbs. In addition, after intramuscular injection, redness, swelling and small pus spots may appear in the area, and thrombophlebitis may occur after intravenous injection.

IV. Eyes. The lesions can be divided into the eyeball, anterior segment lesions and posterior segment lesions. The anterior segment lesions are mainly iriditis, anterior chamber abscess, conjunctivitis and keratitis. The posterior segment lesions are mainly choroiditis, optic neuritis, optic nerve atrophy and vitreous lesions, secondary cataracts, glaucoma, retinal detachment, macular degeneration, and eyeball atrophy. It often starts with lesions in one eye and the anterior segment of the eyeball, and then develops into lesions in both eyes and the posterior segment of the eyeball. Due to repeated attacks, eyeball lesions cause gradual deterioration of vision and even blindness. Eye lesions have the lowest incidence among common symptoms, but the consequences are serious. In the clinic, we found that a 23-year-old male youth had lost his left eye when he came to the hospital for treatment. His right eye had preserved its vision due to timely treatment, but there was still a gap compared with normal vision.