Rare Wound: Extensive Skin Lesions and Poor Wound Healing of the Calf in a Patient With Behçet's Disease

Dear Editor, Behçet's disease (BD) is a chronic systemic vasculitic disease characterised by recurrent oral ulcers, genital ulcers, ocular inflammation and skin lesions, with recurrent episodes that can affect multiple systems [1].This case report presents a 60-year-old male who suffered extensive skin lesions on both lower extremities after trauma.Despite undergoing debridement and targeted anti-infective treatment (initially treated with ceftazidime and subsequently meropenem, a total of 14 days), the wound failed to heal and progressively worsened, complicated by multiple organ dysfunction, leading to a severe condition.After a multidisciplinary consultation, BD was diagnosed.The treatment strategy was revised by introducing glucocorticoids combined with immunosuppressants, anti-infective treatment was adjusted to meropenem combined with linezolid and the patient underwent further debridement, skin grafting and vacuum sealing drainage (VSD).Ultimately, the patient's wound healed, and he was discharged.At present follow-up, the patient's wound has recovered well.Extensive skin lesions are rare in BD patients; therefore, this case aims to enrich clinical data and enhance clinical awareness of the disease.