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Recurrent Oral and Genital Ulcers in an Infant: Neonatal Presentation of Pediatric Behçet Disease
Authors:Emma F Johnson MD  Danielle M Hawkins MD  Laura K Gifford MD  Aimee C Smidt MD
Affiliation:1. University of New Mexico, School of Medicine, Albuquerque, New Mexico;2. Department of Dermatology, University of New Mexico School of Medicine, Albuquerque, New Mexico;3. Department of Pediatrics, University of New Mexico School of Medicine, Albuquerque, New Mexico
Abstract:Behçet disease is a complex, multisystem disease characterized by recurrent oral and genital ulcerations. It rarely occurs in infants or children. Neonatal Behçet disease has been reported in infants whose ulcers resolve at or before 9 weeks of age. Few cases of neonatal Behçet disease persisting into childhood have previously been reported. We report the case of a 1‐month‐old infant who presented with severe recurrent genital ulcerations and at 6 months developed recurrent oral ulcerations. Her orogenital ulcerations continue to recur. Human leukocyte antigen testing revealed HLA‐B51 and B44 positivity. This is a case of pediatric Behçet disease in the neonatal period. Behçet disease should be considered in the differential diagnosis of recurrent genital and oral ulcerations in infants and children.
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