Behcet病误诊分析

Misdiagnostic Analysis of Behcet′s Disease

目的:探讨眼科临床工作中Behcet病误诊的常见原因。方法:回顾性分析16例Behcet病患者的临床资料与误诊情况。结果:本组临床表现主要有双眼复发性全葡萄膜炎(16例,100%)、复发性口腔溃疡(16例,100%)、皮肤红斑结节(14例,87.5%)、会阴部溃疡(11例,68.8%)以及耳鸣(2例,12.5%)等。其中首诊时被误诊为虹膜睫状体炎9例,被误诊为葡萄膜炎5例。结论:采集病史和体检不够全面以及对Behcet病所致葡萄膜炎的临床特征缺乏深入的认识是眼科临床工作中Behcet病误诊的主要原因。

Objective：To analyze the misdiagnostic causes of Behcet＇s disease in ophthalmologic clinical practise. Method：The clinical data of 16 patients with Behcet＇s disease were analyzed retrospectively. Result：The clinical manifesations presented by the patients in this group mainly included refractory bilateral panuveitis （16 cases, 100 % ）, refractory oral ulcer（16 cases,100%）,dermal erythema nodosum（14 cases,87.5%）, genital ulcer（11 cases,68.8%） and tinnitus （2 cases, 12.5% ）. Among the 16 cases ,9 were misdiagnosed as iridocyclitis and 5 as uveitis at initial reception. Conclusions ：The main misdiagnostic cause of Behcet＇s disease in ophthalmologic clinical practise is that some ophthalmologists don＇t understand well the clinical features of uveitis due to Behcet＇s disease and fail to make integrate interrogation or examination for the patients.