Genital ulcers: do not forget Behçet disease

A 22-year-old, previously healthy, woman was referred to our department for genital ulcers present for more than 1 year, with no resolution to the various treatments prescribed. At physical examination, the patient presented a painful ulcer with a central necrotic base and clean margin about 10 mm in diameter on the right labia majora (figure 1) and a similar lesion at the cervix (figure 2). Multiple painful aphthous like ulcers morphologically similar to genital ulcers of the oral cavity (figures 3 and 4) and folliculitis-like lesions on the legs (figure 5) were found. The diagnostic exams revealed only an elevated …