Adults
Behçet's syndrome
Recurrent oral ulcers with genital ulcers, eye inflammation, skin lesions, or vascular or neurologic events.
What to look for
- Recurrent oral ulcers (3 or more episodes a year) plus genital ulcers
- Uveitis or retinal vasculitis. Eye involvement can threaten sight.
- Skin lesions: erythema nodosum, pseudofolliculitis, a positive pathergy test
- Venous thrombosis, arterial aneurysms, or neurologic involvement
What to do
- Same-day ophthalmology for visual loss, floaters or a painful red eye. Coughing blood (possible pulmonary artery aneurysm), sudden neurologic symptoms or sudden vision loss need emergency care.
- Send CBC, metabolic panel, CRP/ESR and urinalysis. There is no diagnostic blood test.
- Care is often multidisciplinary (rheumatology, ophthalmology, dermatology). Treatment depends on the organs involved.
About this urgency level
Early specialist assessment changes outcomes. Send the usual workup with the referral, but don't hold the referral while waiting for results.
Timeframes are typical targets. Local pathways, capacity and clinical judgment come first.