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Oral Medicine Case Dr.Khalid Aboalshamat B.D.S
My Presentation HX Extra oral X-ray Intra oral Lesion D.D Investigation & Final Diagnosis TX Follow up Related Topic
Pt. History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Periodontal Problems:  when it is inflamed , he cannot eat neither drink. Surgery:  extraction of 6 teeth before a year. Tongue Pain:  present with burning sensation sometimes
My Presentation HX Extra oral X-ray Intra oral Lesion D.D Investigation & Final Diagnosis TX Follow up Related Topic
Extraoral examination  & radiograph
Intraoral Examination
My Presentation HX Extra oral X-ray Intra oral Lesion D.D Investigation & Final Diagnosis TX Follow up Related Topic
Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object]
Erythema Multiform (EM) ,[object Object],[object Object],[object Object],[object Object],Types Mild self-limiting Steven Johnson syndrome Toxic epidermal Necrolysis (TEN)
EM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EM ,[object Object],[object Object],eye genitals Skin mouth involves
EM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EM Dose this pt. really have :  erythema multifrom? Dose this pt. suffering from : Steven Johnson syndrome?
Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object]
Reiter ’ s Syndrome ,[object Object],[object Object],[object Object],Most of cases dose not show all the 3 sings Signs triad Non-genococcal  urethritis arthritis Conjunctivitis
Reiter ’ s Syndrome ,[object Object],[object Object],[object Object],[object Object]
Reiter ’ s Syndrome Do you think  that this pt. suffering from Reiter’s Syndrome?
Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object]
Behcet ’ s syndrome ,[object Object],but now it is different story! Triad of  symptoms Recurrent oral  ulcers Recurring genital  ulcer Recurring eye lesion
Behcet ’ s syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Behcet ’ s syndrome Clinical pic.: Multi-system disorder Orally genital eye skin joints CNS others
Behcet ’ s syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Behcet ’ s syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Behcet ’ s syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Behcet ’ s   syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Behcet ’ s   syndrome ,[object Object],[object Object],[object Object],[object Object]
Behcet ’ s   syndrome Recurrent oral  Ulceration occurring Once in each  12 months + 2 of the following Positive pathergy test Skin lesion include: Recurrent genital ulcer Eye lesion: Uveitis/ vasculitis Erythema nodosum Psudo- folliculitis Papulo-pastular lesion Acneiform nodules
Behcet ’ s   syndrome
Behcet ’ s   syndrome It is important to note that: the criteria set forth by the  International Study Group of Physicians was intended for classification  of patients for research only, not for a Behçet's diagnosi ABDA
Behcet ’ s   syndrome ,[object Object],The classification tree is the most sensitive and the most accurate criteria for the classification of BH as it is proven by many studies.
Behcet ’ s   syndrome So what do you think?  Is it Behcet’s syndrome?
Behcet ’ s   syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Behcet ’ s   syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object]
Behcet ’ s   syndrome
My Presentation HX Extra oral X-ray Intra oral Lesion D.D Investigation & Final Diagnosis TX Follow up Related Topic
Investigation needed & Final diagnosis Recurrent oral  Ulceration occurring Once in each  12 months + Recurrent genital ulcer Skin lesion include: Eye lesion: Uveitis/ vasculitis 2 of the following Positive pathergy test Skin lesion include: Recurrent genital ulcer Eye lesion: Uveitis/ vasculitis Erythema nodosum Psudo- folliculitis Papulo-pastular lesion Acneiform nodules
Investigation needed & Final diagnosis ,[object Object],[object Object],[object Object]
Treatment plan ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Follow up
My Presentation HX Extra oral X-ray Intra oral Lesion D.D Investigation & Final Diagnosis TX Follow up Related Topic
Related topic new simple way to use the classification tree for the diagnosis of Behcet's disease
New simple way to use the classification tree for the diagnosis of Behcet ’ s disease ,[object Object],The classification tree is the most sensitive and the most accurate criteria for the classification of BH as it is proven by many studies from : China, Korea, India, Iran, Russia and USA.
New simple way to use the classification tree for the diagnosis of Behcet ’ s disease ,[object Object],[object Object],[object Object],[object Object],[object Object]
New simple way to use the classification tree for the diagnosis of Behcet ’ s disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],7 point =  BD pt
New simple way to use the classification tree for the diagnosis of Behcet ’ s disease 1 2 3 4 5 X 7
New simple way to use the classification tree for the diagnosis of Behcet ’ s disease ,[object Object],[object Object],[object Object],[object Object]
New simple way to use the classification tree for the diagnosis of Behcet ’ s disease ,[object Object],[object Object],[object Object],[object Object]
New simple way to use the classification tree for the diagnosis of Behcet ’ s disease ,[object Object],1 2 3 4 5 Positive history 13
thank you done by: Dr.Khalid Abo Al Shamat
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Oral medicine case behcet disease

  • 1.  
  • 2. Oral Medicine Case Dr.Khalid Aboalshamat B.D.S
  • 3. My Presentation HX Extra oral X-ray Intra oral Lesion D.D Investigation & Final Diagnosis TX Follow up Related Topic
  • 4.
  • 5. My Presentation HX Extra oral X-ray Intra oral Lesion D.D Investigation & Final Diagnosis TX Follow up Related Topic
  • 6. Extraoral examination & radiograph
  • 8. My Presentation HX Extra oral X-ray Intra oral Lesion D.D Investigation & Final Diagnosis TX Follow up Related Topic
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. EM Dose this pt. really have : erythema multifrom? Dose this pt. suffering from : Steven Johnson syndrome?
  • 15.
  • 16.
  • 17.
  • 18. Reiter ’ s Syndrome Do you think that this pt. suffering from Reiter’s Syndrome?
  • 19.
  • 20.
  • 21.
  • 22. Behcet ’ s syndrome Clinical pic.: Multi-system disorder Orally genital eye skin joints CNS others
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28. Behcet ’ s syndrome Recurrent oral Ulceration occurring Once in each 12 months + 2 of the following Positive pathergy test Skin lesion include: Recurrent genital ulcer Eye lesion: Uveitis/ vasculitis Erythema nodosum Psudo- folliculitis Papulo-pastular lesion Acneiform nodules
  • 29. Behcet ’ s syndrome
  • 30. Behcet ’ s syndrome It is important to note that: the criteria set forth by the International Study Group of Physicians was intended for classification of patients for research only, not for a Behçet's diagnosi ABDA
  • 31.
  • 32. Behcet ’ s syndrome So what do you think? Is it Behcet’s syndrome?
  • 33.
  • 34.
  • 35. Behcet ’ s syndrome
  • 36. My Presentation HX Extra oral X-ray Intra oral Lesion D.D Investigation & Final Diagnosis TX Follow up Related Topic
  • 37. Investigation needed & Final diagnosis Recurrent oral Ulceration occurring Once in each 12 months + Recurrent genital ulcer Skin lesion include: Eye lesion: Uveitis/ vasculitis 2 of the following Positive pathergy test Skin lesion include: Recurrent genital ulcer Eye lesion: Uveitis/ vasculitis Erythema nodosum Psudo- folliculitis Papulo-pastular lesion Acneiform nodules
  • 38.
  • 39.
  • 41. My Presentation HX Extra oral X-ray Intra oral Lesion D.D Investigation & Final Diagnosis TX Follow up Related Topic
  • 42. Related topic new simple way to use the classification tree for the diagnosis of Behcet's disease
  • 43.
  • 44.
  • 45.
  • 46. New simple way to use the classification tree for the diagnosis of Behcet ’ s disease 1 2 3 4 5 X 7
  • 47.
  • 48.
  • 49.
  • 50. thank you done by: Dr.Khalid Abo Al Shamat
  • 51.