Question

Oculo-oro-genital ulcers are a feature of which condition?

• A. Behcet disease
• B. Lichen planus
• C. SLE
• D. Psoriasis

Hint:

Recurrent oral plus genital plus eye ulcers point to Behcet disease.

Answer 1

The Correct Option is A

Step 1: Recognise the triad. The combination of recurrent oral, genital, and ocular involvement (the oculo-oro-genital pattern) is the classic hallmark of Behcet disease, a multisystem variable-vessel vasculitis.

Step 2: Diagnostic criteria. Behcet disease is defined by recurrent oral aphthous ulcers plus at least two of the following: genital aphthae, eye lesions such as posterior uveitis, skin lesions like pustular vasculitis, synovitis, or meningoencephalitis, in the absence of inflammatory bowel disease or other autoimmune cause.

Step 3: Exclude the distractors. Lichen planus gives oral and mucosal lesions but not the genital plus ocular ulcer triad. SLE and psoriasis have their own skin and systemic patterns and do not produce this characteristic oculo-oro-genital ulceration. Thus Behcet disease is the answer.

Hence the correct answer is option 1.