白塞病合并周围神经病变(法国)

Behet's disease associated with peripheral neuropathy (Fren)

Introduction. The involvement of the peripheral nervous system in Behet’s d isease is very rare. Case report. We report a case of a 47-year-old man with a six-year history of Behet’s disease and a two-year history of peripheral n ervous system involvement. This patient presented with paraesthesia and weakness of the upper and lower limbs, diarrhea and erectile dysfunction. The electromyo gram showed evidence of an axonal sensorimotor neuropathy and the nerve biopsy s howed an axonal neuropathy. Routine blood tests were normal, there was no increa se of serum creatine kinase, aspartate aminotransfease or lactate dehydrogenase and no signs of hyperthyroidism. Fibroscopy and colonoscopy showed no signs of e ntero-Behet.The patient was treated with prednisone, cyclophosphamide and car bamazepine with an improvement of paraesthesia. Conclusion. The mechanism of the peripheral neuropathy in Behet’s disease is still unknown, it might be due t o vasculitis of the vasa nervorum or to the side effects of colchicine. Our repo rt is particular by the association of sensorimotor and autonomic involvement of peripheral neuropathy in a patient with Behet’s disease.