Toe Amputation After Minor Surgery in a Patient with Behçet's Disease: A Case Report.
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.
Assistant Professor, Department of Plastic, Aesthetic and Reconstructive Surgery, Dicle University Medical School, Diyarbakir, Turkey. Electronic address: burhanozalp@hotmail.com.
Burhan
B
Özalp
Resident, Department of Plastic, Aesthetic and Reconstructive Surgery, Dicle University Medical School, Diyarbakir, Turkey.
Cemal
C
Akcay
Resident, Department of Plastic, Aesthetic and Reconstructive Surgery, Dicle University Medical School, Diyarbakir, Turkey.
Mustafa
M
Aydinol
Associate Professor, Department of Plastic, Aesthetic and Reconstructive Surgery, Dicle University Medical School, Diyarbakir, Turkey.
Caferi Tayyar
CT
Selçuk
D000671:Amputation, Surgical / Q000379:methods*; D001528:Behcet Syndrome / Q000150:complications* / Q000175:diagnosis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D013511:Minor Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D009260:Nail Diseases / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D009262:Nails / Q000601:surgery*; D018570:Risk Assessment; D014034:Toes / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult
Behçet's disease; amputation; autoimmune vasculitis; toe