Abstract
Case reportA 24-year-old woman who complained of maculo-papulo rash, genital and buccal aphthous ulcers, abdominal pain, minor dyspnea and visual loss in both eyes was presented for treatment. Funduscopy revealed a bilateral occlusive vasculitis including the central vessels. Treatment was initiated with a methylprednisolone bolus (1g/24h) and infliximab 5mg/kg/day (0–2–6 weeks and every 8th week). The treatment prescribed induced a fast remission. Visual acuity improved. The patient did not suffer any other relapse after one year of follow-up. DiscussionAn initial treatment with Infliximab should be considered in Behçet disease for serious outbreaks, such as macular occlusive vasculitis with ischemia.
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