2016 The Journal of foot and ankle…

Toe Amputation After Minor Surgery in a Patient with Behcet's Disease: A Case Report.

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The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons Vol. 55 (3) : 638-41 • May 2016

Behcet's disease is a systemic autoimmune vasculitis. Although various clinical findings can be observed depending on the pathologic features caused by the blood vessels involved, the classic triad of the disease includes oral aphthae, genital ulcers, and uveitis. Although complications involving the aorta or the vena cava inferior can prove fatal, thrombophlebitis in the superficial veins of the lower extremities are more commonly observed. Some patients can remain asymptomatic for a long period after the diagnosis. In patients with positive pathergy test findings, trauma can trigger the inflammatory cascade. This case report presents a patient with vasculitis that occurred subsequent to minor surgery and led to amputation of the great toe in a female patient with a 14-year old history of Behcet's disease.

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