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Dentistry · Oral medicine and oral cancer: Behcet disease
Sample itemA 28-year-old man from the Mediterranean has recurrent painful oral ulcers, genital ulcers and red eyes with a hypopyon. Which diagnosis fits?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Behcet disease
Behcet disease is a vasculitis whose classic triad is recurrent oral ulcers, genital ulcers and uveitis. A positive pathergy test supports the diagnosis.
Option by option
A. Herpes simplex
Herpes simplex gives vesicles and does not cause uveitis with hypopyon in this pattern.
B. Behcet disease (correct)
Correct. Oral and genital ulceration with uveitis is the triad of Behcet.
C. Reiter syndrome
Reiter syndrome causes arthritis, urethritis and conjunctivitis, with painless oral ulcers.
D. Stevens-Johnson syndrome
Stevens-Johnson syndrome follows drugs and shows target lesions with extensive mucosal erosion.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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