A case of recurrent neuro-Behçet's disease after tooth extraction.
We report a 39-yr-old man with neuro-Behçet's disease (NBD) in remission who developed left-sided ataxia with a sensory deficit about 10 days after tooth extraction. Several years ago, he experienced a similar episode of relapse after tooth extraction. Brain magnetic resonance imaging showed a newly developed right thalamic lesion. In cerebrospinal fluid, lymphocyte-dominant pleocytosis and mild elevation of IgG were found. Immunologic factors may be important in the pathogenesis of NBD because of the time delay between tooth extraction and relapse. Careful observation and prevention are needed before dental procedures in patients with NBD.
Choi
Seong-Min
SM
Department of Neurology, Chonnam National University Medical School, Gwangju, Korea.
Choi
Yun-Ju
YJ
Kim
Joon-Tae
JT
Lee
Seung-Han
SH
Park
Man-Seok
MS
Kim
Byeong-Chae
BC
Kim
Myeong-Kyu
MK
Cho
Ki-Hyun
KH
D000328:Adult; D001528:Behcet Syndrome / Q000175:diagnosis* / Q000188:drug therapy; D001921:Brain / Q000000981:diagnostic imaging; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis; D007964:Leukocytosis / Q000134:cerebrospinal fluid / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D018696:Neuroprotective Agents / Q000627:therapeutic use; D011877:Radionuclide Imaging; D012008:Recurrence; D014081:Tooth Extraction
D007074:Immunoglobulin G; D018696:Neuroprotective Agents; D008775:Methylprednisolone