Toe Amputation After Minor Surgery in a Patient with Behçet's Disease: A Case Report.

J Foot Ankle Surg

Associate Professor, Department of Plastic, Aesthetic and Reconstructive Surgery, Dicle University Medical School, Diyarbakir, Turkey.

Published: July 2017

AI Article Synopsis

  • Behçet's disease is a systemic autoimmune condition characterized by inflammation of blood vessels, often leading to symptoms such as oral sores, genital ulcers, and eye inflammation (uveitis).
  • Although it can cause serious complications, like issues with major blood vessels, more common problems include inflammation in superficial veins of the legs, and some patients may not show symptoms for extended periods.
  • The case report details a female patient with a 14-year history of Behçet's disease who developed vasculitis following minor surgery, ultimately resulting in the amputation of her great toe.

Article Abstract

Behçet's disease is a systemic autoimmune vasculitis. Although various clinical findings can be observed depending on the pathologic features caused by the blood vessels involved, the classic triad of the disease includes oral aphthae, genital ulcers, and uveitis. Although complications involving the aorta or the vena cava inferior can prove fatal, thrombophlebitis in the superficial veins of the lower extremities are more commonly observed. Some patients can remain asymptomatic for a long period after the diagnosis. In patients with positive pathergy test findings, trauma can trigger the inflammatory cascade. This case report presents a patient with vasculitis that occurred subsequent to minor surgery and led to amputation of the great toe in a female patient with a 14-year old history of Behçet's disease.

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Source
http://dx.doi.org/10.1053/j.jfas.2015.03.012DOI Listing

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