Abstract
A 28 year old West Indian patient is described who had a relapsing and remitting steroid-sensitive illness for 3 years. The clinical features included uveitis and widespread CNS involvement. The patient was treated as though he had neurosarcoidosis. Post mortem examination revealed histological changes compatible with a diagnosis of Behçet's disease, but at no time did he suffer from oral or genital ulceration or arthritis. The authors suggest a new term to encompass such an entity: the "Behçet's MINUS" syndrome (multifocal intermittent neurological and uveitic syndrome).
MeSH terms
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Adult
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Antitubercular Agents / therapeutic use
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Behcet Syndrome / complications
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Behcet Syndrome / diagnosis*
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Brain / diagnostic imaging
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Brain / physiopathology
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Brain / ultrastructure
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Brain Diseases / diagnosis
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Brain Diseases / physiopathology
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Diagnosis, Differential
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Diagnostic Errors
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Dysarthria / complications
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Humans
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Magnetic Resonance Imaging
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Male
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Prednisolone / administration & dosage
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Prednisolone / therapeutic use
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Radiography
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Sarcoidosis / diagnosis*
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Sarcoidosis / drug therapy
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Sarcoidosis / physiopathology
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Tuberculosis / diagnosis*
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Tuberculosis / drug therapy
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Uveitis / complications
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Vision Disorders / complications
Substances
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Antitubercular Agents
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Prednisolone