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Issue: Issue 3 (2016) – Supplement 3


Case Report

Optic neuritis as presenting manifestation of Behçet's Disease with multisystem involvement

Author(s):
Pedro Barros, Pedro Madureira, Sofia Pimenta, and Joana Guimarães
Abstract:
Introduction: Optic nerve damage unrelated to uveitis, retinal disease and intracranial hypertension are extremely rare in Behçet's Disease (BD) . We report a case of BD with systemic manifestations in which the initial neurological expression was an optic neuritis. 
Case Report: A 20-year-old woman, with recurrent oral aphthosis, presented with acutely right blurred vision and was diagnosed with an optic neuritis. One year later she complained of lack of strength in the left limbs and had a mild left hemiparesis. Two years later she presented with a pancreatitis, skin ulcers and rectal bleeding, and she was diagnosed with multisystemic BD. 
Discussion: We present a case where the clinical and laboratory features were very typical of inflammatory damage to the optic nerve in a patient with a later diagnosis of BD. Recognition of this clinical syndrome, although uncommon, might help clinicians to remember BD in the differential diagnosis of patients presenting with optic neuritis.

Keywords: Optic neuritis, Multisystemic, Behçet's Disease.

Special Issue on Inflammatory Demyelinating Diseases of the Central Nervous System

International Journal of Clinical Neurosciences and Mental Health 2016; 3(Suppl. 3):S03
DOI: http://dx.doi.org/10.21035/ijcnmh.2016.3(Suppl.3).S03
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