Abstract
We report on a 16-year old patient with a neuropathic bladder secondary to Behcet's disease, which is an uncommon vasculitis usually involving venules. The genitourinary manifestations of this disease are discussed, a neuropathic bladder being a rare complication of the involvement of the nervous system. Urodynamic assessment is important when voiding dysfunction is present; three patients previously reported revealed a bladder function changing from normal detrusor to overactivity. Our patient showed early and severe involvement of the nervous system, and detrusor areflexia two years after the onset of the disease. Spontaneous voiding was restored two months after urological management (intermittent catheterization) was started.
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Adamantiades B . Sur un cas d'iritis à hypopyon rècidivante. Ann Oculist 1931; 168: 271–275.
Waidelich R M, Brunschweiger S M, Schindler N Y . Urethrovaginal fistula in Behcet disease. Urologe 1994; 33(2): 163–166.
Stanescu A, Petrescu A, Kreindler A . The meningo-encephalo-myelo-polyradicular form of Behcet's disease. An anatomicoclinical case. Rom J Neurol Psychiatry 1990; 28(4): 315–320.
Kirkali Z, Ygitbasi O, Sasmaz R . Urological aspects of Behcet's disease. Br. J. Urol. 1991; 67(6): 638–639.
Carnovale A, Nuzzi L, Uomo G . A rare cause of hematuria. Behcet disease located in the bladder. Minerva Urologica e Nefrologica 1985; 37(2): 195–197.
Nakagawa H et al. Three cases of neurogenic bladder due to neuro-Behcet disease. Nippon Ninyokika Gakkai Zasshi 1994; 85(9): 1399–1402.
Hermann C . Jr. Involvement of the nervous system in relapsing uveitis with recurrent genital and oral ulcers. Arch Neurol Psychiat (Chic) 1953; 69: 399–403.
Wolf S M, Schotland D L, Phillips L L . Involvement of the nervous system in Behcet's syndrome. Arch Neurol (Chic) 1965; 12: 315–325.
Asayama R, Shimizu A, Akutagawa T . A case of Behcet's disease with symptoms of multiple sclerosis. J Clinical Ophtal 1963; 17: 15–21.
Gherardi D, Nazzaro P . Le complicanze neurologiche del morbo di Behcet, Lav Neuropsichiat 1966; 37: 333–408.
Alemà G, Bignami A . Involvement of the nervous system in the Behcet's disease. International Symposium on Behcet's disease. Karger, Basel-New-York 1966; pp 52–66.
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Porru, D., Pau, A., Scarpa, R. et al. Behcet's disease and the neuropathic bladder: urodynamic features: case report and a literature review. Spinal Cord 34, 305–307 (1996). https://doi.org/10.1038/sc.1996.56
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DOI: https://doi.org/10.1038/sc.1996.56