The persistent fever also made her mental state not very good until Ms. Zhao came to the Rheumatology and Immunology Department of Guangdong Provincial People's Hospital for treatment. After inquiry, the attending doctor quickly confirmed that Ms. Zhao had Behcet's disease.
The doctor explained: "Behcet's disease has the highest incidence among rare diseases in China, but most patients, even doctors, have a low understanding of this disease, and the symptoms are diverse, which is prone to misdiagnosis and missed diagnosis, often delaying the best treatment time."
Perhaps many people have heard of this disease, but this rare disease is eroding the young body step by step.
Behcet's disease-a disease that most easily irritates young people.
Behcet's disease is related to our mouth-eyes-genitals, also known as Behcet's syndrome, which is a kind of vasculitis and can be seen in all kinds of people in China. Teenagers aged 16 or middle-aged and elderly people over 40 may be infected or repeatedly stimulated by some viruses.
Behcet's disease is also called silk road disease, because patients are more common in East Asia, the Middle East and the Mediterranean basin, and distributed along the ancient Silk Road. However, because the disease is rare, it is still impossible to determine the cause.
Dr. Bai Caibao from the Dermatology Department of Kangrui Hospital affiliated to guangxi university of chinese medicine said that Behcet's disease is a systemic immune system disease with unknown etiology, which may be related to virus infection, trace elements, genetic factors, overwork, endocrine disorders and other factors.
202 1- 1, scholars from Huadong Hospital of Fudan University conducted a cohort study on Behcet's disease patients in China. Studies have found that recurrent oral ulcers, genital ulcers, skin and eye lesions are the most common diseases, but all organs of the whole body may be involved.
How to judge whether you have Behcet's disease?
Oral ulcer and skin injury are very similar to hot air and excessive internal heat, so Behcet's disease is often easily confused with other diseases, leading to misdiagnosis. Through clinical summary, it is found that Behcet's disease generally has the following four manifestations-
1. Oral ulcer: recurrent small ulcer, only a few of which are deep ulcers, occurring more than three times a year. Ulcer can occur on lips, tongue, cheeks, palate and gums, and can be cured in about 10 days.
2. Eye lesions: About 50% of patients can have conjunctivitis, keratitis, choroiditis and retinitis, which can lead to decreased vision, photophobia, redness and pain, and even blindness in severe cases.
3. Genital lesions: About 70% of patients will have genital ulcers. Men are more common in scrotum and penis, and women are more common in labial ulcer. The size of ulcer is similar to or deeper than that of oral ulcer, and the pain is obvious. Generally, the attack interval is far away and the healing is slow.
4. Skin diseases: The incidence of skin diseases is also high. Generally, about 90% patients will have erythema nodosum, folliculitis, furuncle, ulcer and so on. There may also be erythema multiforme.
Of course, besides the four most common features, Behcet's disease is a systemic disease, and all organs will be involved if it is not intervened in time. This disease is rare and can easily lead to systemic diseases. Therefore, the treatment of Behcet's disease, early detection and early intervention is the most important.
How to treat Behcet's disease after diagnosis?
According to the onset cycle and characteristics of Behcet's disease, it can be divided into the following three treatment methods:
1. General treatment: For patients with acute attack, they should stay in bed during the active period of attack, and pay attention to prevent recurrence during the intermittent period of attack, and avoid irritating food or strong ultraviolet radiation, so that the parts prone to recurrence are stimulated by the outside world.
2. Local treatment: For the local lesions of Behcet's disease patients, it is necessary to prescribe the right medicine. If oral ulcer occurs repeatedly, glucocorticoid ointment, Bingboron powder and Xilei powder should be used for treatment. For patients with keratitis and conjunctivitis, corticosteroid eye ointment or eye drops can be used to relieve them.
3. Systemic treatment: Patients with systemic symptoms should be treated with glucocorticoid and anti-tuberculosis drugs.
Glucocorticoid is the main drug to treat Behcet's disease, which can relieve various symptoms caused by the disease, especially for mucosal ulcer and joint pain.
Immunosuppressant: It has synergistic effect with glucocorticoid and can delay the progress of the disease. The medicine comprises leflunomide and colchicine, and can also be selected from Liu Kening and Yimulan.
Surgical treatment: Patients with perforated peptic ulcer need immediate surgical treatment. Aneurysm, secondary glaucoma and sympathetic ophthalmia should be considered for surgical treatment.
Any minor illness, if not intervened in time, may develop into an incurable disease. Many patients with Behcet's disease thought they were oral ulcers at first, so it is wrong to "fool" the past by taking some medicine casually. At present, there is no good prevention method for Behcet's disease. If you have recurrent oral ulcer with other manifestations, you should seek medical advice in time and intervene as soon as possible.
References:
[1] The latest research: Behcet's disease population in China is more likely to be these five types! ".Rheumatoid nephropathy channel in medical field.2021-03-02 [2]" What the hell is Behcet's disease? ".Popular science China. 20 17-09-0 1[3] "Recurrent oral ulcer is Behcet's disease! Introduce you to this rare disease. Guangxi news network.2016-05-19.
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